Provider Demographics
NPI:1376710616
Name:WINDSOR, BARBARA
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:WINDSOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W4181 TAGAY TAY TER
Mailing Address - Street 2:
Mailing Address - City:WAUBEKA
Mailing Address - State:WI
Mailing Address - Zip Code:53021-9789
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:W4181 TAGAY TAY TER
Practice Address - Street 2:
Practice Address - City:WAUBEKA
Practice Address - State:WI
Practice Address - Zip Code:53021-9789
Practice Address - Country:US
Practice Address - Phone:262-692-2581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1366-019225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant