Individual
DOUGLAS JEROME WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.008601
IL
225X00000X
Occupational Therapist
Primary
OT12723
FL
225XH1200X
Hand Occupational Therapist
OT12723
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT12723
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892547000
—
FL
Enumeration date
09/11/2007
Last updated
05/03/2011
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