Individual
MRS. MICHELLE LYNN WINEGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
329 RAINBOW DR, KOKOMO, IN 46902-3869
(765) 455-1700
Mailing address
2924 S 200 W, PERU, IN 46970-3190
(765) 346-0308
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05004472A
IN
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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