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Individual

DOUGLAS JEROME WINTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
8846 CR 535, ORLANDO, FL 32836
(407) 876-4350
Mailing address
8846 CR 535, ORLANDO, FL 32836
(407) 876-4350

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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