MEDICARE: BARBARA WINTER JONKEY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist	PT 9249	CA

General Provider Information

NPI Number	:	1386852374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA WINTER JONKEY PT

Provider Business Mailing Address
First Line	:	1725 W MOUNTAIN ST
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1210
Country	:	US
Telephone Number	:	818-618-0068
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 W MOUNTAIN ST
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-1210
Country	:	US
Telephone Number	:	818-618-0068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	02/09/2008

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Directions to “ BARBARA WINTER JONKEY PT” Practice Location

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