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Individual
MS. THERESA AUDREY WINNIE
Active
Individual
MS. THERESA AUDREY WINNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106898
MEDICARE ID
FL
Enumeration date
02/04/2009
Last updated
02/14/2025
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