Doctor Name: | MR. WINSTON PEARSON |
NPI Number: | 1184814840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2305001778 |
Business Practice Address: | 1050 W Perimeter Rd Andrews Afb, MD - 207626601 |
Business Phone Number: | 2408572252 |
Business Fax Number: | 2408579415 |
Mailing Address: | 816 Independence Blvd, Suite 3f VIRGINIA BEACH |
State: | VA |
Postal Code: | 234556010 |
Phone Number: | 7573636178 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2007 |
NPI Last Update Date: | 07/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 2305001778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |