Individual
THEODORA WINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
(951) 274-3524
(951) 274-3442
Mailing address
4444 MAGNOLIA AVE, RIVERSIDE, CA 92501-4136
(951) 274-3524
(951) 274-3442
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
14923
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14923
PHYSICAL THERAPY
CA
Enumeration date
04/16/2007
Last updated
12/01/2021
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