Individual
MRS. JILL R WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4381 CHARLOTTE HWY STE 104, LAKE WYLIE, SC 29710-7061
(803) 631-5485
(803) 701-7175
Mailing address
3009 MASON CT, LAKE WYLIE, SC 29710-8106
(803) 631-5485
(803) 701-7175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5372
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1740
—
SC
Enumeration date
11/01/2006
Last updated
07/02/2026
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