Individual
TERESA BANTA WINKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4173
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4511
(571) 423-4173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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