Provider Demographics
NPI:1538462536
Name:WINTERS, JESSICA ANN (MSPT)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:WINTERS
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:PA
Mailing Address - Zip Code:18643-1544
Mailing Address - Country:US
Mailing Address - Phone:570-578-7576
Mailing Address - Fax:
Practice Address - Street 1:314 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:PA
Practice Address - Zip Code:18643-1544
Practice Address - Country:US
Practice Address - Phone:570-578-7576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020030225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist