Individual
MRS. NANCY JANE WINIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7443 INDIANAPOLIS BLVD, HAMMOND, IN 46324-2909
(219) 844-8100
(219) 844-7460
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
05001312A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200643090
FIRST STEPS EARLY INTER.
IN
Enumeration date
04/20/2007
Last updated
01/02/2017
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