Provider Demographics
NPI:1558482620
Name:WINDERS, PATRICIA C (PT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:C
Last Name:WINDERS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13123 E 16TH AVE
Mailing Address - Street 2:B745
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-7106
Mailing Address - Country:US
Mailing Address - Phone:720-777-4989
Mailing Address - Fax:720-777-7936
Practice Address - Street 1:13123 E 16TH AVE
Practice Address - Street 2:B745
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7106
Practice Address - Country:US
Practice Address - Phone:720-777-4989
Practice Address - Fax:720-777-7936
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO96802251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics