Individual
AMANDA KATHLEEN VAN WINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8737 UNION CENTRE BLVD, WEST CHESTER, OH 45069-4878
(513) 645-2246
(513) 645-2233
Mailing address
4701 CREEK RD, SUITE 110, CINCINNATI, OH 45242-8398
(513) 733-9333
(513) 588-2479
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.012458
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000626012
ANTHEM
OH
05
—
3004000
—
OH
Enumeration date
08/05/2009
Last updated
12/20/2010
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