Provider Demographics
NPI:1326037300
Name:WINSTON, KERRI LEE (MS,MOT,OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KERRI
Middle Name:LEE
Last Name:WINSTON
Suffix:
Gender:F
Credentials:MS,MOT,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16659 HEMINGWAY DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1100
Mailing Address - Country:US
Mailing Address - Phone:954-683-3904
Mailing Address - Fax:
Practice Address - Street 1:16659 HEMINGWAY DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1100
Practice Address - Country:US
Practice Address - Phone:954-683-3904
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8479208000000X, 2080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics