Provider Demographics
NPI:1255664363
Name:WINGARD, KATY ANN (PHYSICAL THERAPY)
Entity Type:Individual
Prefix:
First Name:KATY
Middle Name:ANN
Last Name:WINGARD
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:ANN
Other - Last Name:HOJNOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8755 AERO DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1750
Mailing Address - Country:US
Mailing Address - Phone:619-578-2232
Mailing Address - Fax:619-578-2231
Practice Address - Street 1:8755 AERO DR STE 100
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1750
Practice Address - Country:US
Practice Address - Phone:619-578-2232
Practice Address - Fax:619-578-2231
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist