Theodora Winn is a Orthopedic in Riverside, California. Theodora Winn practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Theodora Winn is 1245455104. The last update date is 2021-12-01.
Theodora Winn's current location address is 4444 Magnolia Ave, Riverside, California. You can contact this provider via phone number 9512743524 and fax number 9512743442. The mailing address for Theodora Winn is 4444 Magnolia Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodora Winn |
|---|---|
| Address | 4444 Magnolia Ave, Riverside, California |
| Phone Number | 9512743524 |
| Fax Number | 9512743442 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1245455104 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 4444 Magnolia Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014136 |
| Phone Number | 9512743524 |
| Fax Number | 9512743442 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 14923 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14923 | CA | PHYSICAL THERAPY |
Post Comment/ Review Below
What is the Theodora Winn's 1245455104?
The Theodora Winn's NPI (National Provider Identifier) Number is 1245455104. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Theodora Winn is physically located?
The Theodora Winn is situated at the following address: 4444 Magnolia Ave, Riverside, CA 925014136.
What is Theodora Winn's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Theodora Winn is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1245455104 to Theodora Winn?
The Centers for Medicare & Medicaid Services originally issued the 1245455104 to Theodora Winn on 2007-04-16.
When was the information pertaining to Theodora Winn most recently updated or revised?
The details related to Theodora Winn, including its address, specialty, and other relevant information, were last updated or revised on 2021-12-01.