Provider Demographics
NPI:1538586847
Name:WINTERS, QUINNESHA (PT, DPT)
Entity type:Individual
Prefix:
First Name:QUINNESHA
Middle Name:
Last Name:WINTERS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 FAVERSHAM LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-7383
Mailing Address - Country:US
Mailing Address - Phone:843-499-0725
Mailing Address - Fax:
Practice Address - Street 1:602 REESE LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29617-1980
Practice Address - Country:US
Practice Address - Phone:864-729-2414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP14561225100000X
SCPT 7018225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist