Provider Demographics
NPI:1205236262
Name:WINTERBORNE, JENNIFER RACHEL
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:RACHEL
Last Name:WINTERBORNE
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 1:648 LONGFELLOW CT
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2065
Mailing Address - Country:US
Mailing Address - Phone:215-206-9600
Mailing Address - Fax:
Practice Address - Street 1:648 LONGFELLOW CT
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2065
Practice Address - Country:US
Practice Address - Phone:215-206-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-27
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer