Individual
PENNY WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N SILVER ST, T OR C, NM 87901-1957
(888) 873-4221
Mailing address
1400 N SILVER ST, T OR C, NM 87901-1957
(888) 873-4221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
249
NM
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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