Provider Demographics
NPI:1073636684
Name:WINKLER, CATHY JAN (PTA)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:JAN
Last Name:WINKLER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 COUNTRY WIND CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6924
Mailing Address - Country:US
Mailing Address - Phone:832-248-9065
Mailing Address - Fax:
Practice Address - Street 1:8131 COUNTRY WIND CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6924
Practice Address - Country:US
Practice Address - Phone:832-248-9065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2033041225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant