Individual
CHARLENE WINIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7901 S COLLEGE AVE, TEMPE, AZ 85284-1410
(602) 708-2313
Mailing address
7901 S COLLEGE AVE, TEMPE, AZ 85284-1410
(602) 708-2313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
003047
AZ
225100000X
Physical Therapist
Primary
LPT-003047
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPT-003047
LICENSE
AZ
Enumeration date
04/21/2017
Last updated
02/05/2024
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