Provider Demographics
NPI:1073768735
Name:WINCHESTER, JANET PEARCE (OTR)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:PEARCE
Last Name:WINCHESTER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 S COLLEGE AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-4196
Mailing Address - Country:US
Mailing Address - Phone:970-407-9999
Mailing Address - Fax:970-207-9844
Practice Address - Street 1:1446 HOVER RD
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-2485
Practice Address - Country:US
Practice Address - Phone:303-772-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist