Provider Demographics
NPI:1528699600
Name:WINTER, MARY MARGARET (OT)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:MARGARET
Last Name:WINTER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 W KIERNAN AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-2553
Mailing Address - Country:US
Mailing Address - Phone:509-348-2409
Mailing Address - Fax:
Practice Address - Street 1:59 E QUEEN AVE STE 212
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1404
Practice Address - Country:US
Practice Address - Phone:509-348-2409
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-28
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist