Doctor Name: | MRS. MARIE NELSON WINTERSCHEID |
NPI Number: | 1013231174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 3524 |
Business Practice Address: | 211 Dixon Recreation Ctr Corvallis, OR - 973318501 |
Business Phone Number: | 5417377556 |
Business Fax Number: | 5417377721 |
Mailing Address: | 1140 Edgewater Dr, WALDPORT |
State: | OR |
Postal Code: | 973949058 |
Phone Number: | 5412640024 |
Fax Number: | 5417377721 |
NPI Enumeration Date: | 03/18/2010 |
NPI Last Update Date: | 03/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 3524 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |