Doctor Name: | MRS. NANCY JANE WINIECKI |
NPI Number: | 1326266982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 05001312A |
Business Practice Address: | 221 Us Highway 41 Suite G Schererville, IN - 463751277 |
Business Phone Number: | 2193222037 |
Business Fax Number: | 2193229787 |
Mailing Address: | 8561 Primrose Dr, SAINT JOHN |
State: | IN |
Postal Code: | 463739751 |
Phone Number: | 2193653788 |
Fax Number: | 2193229787 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 05001312A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |