Provider Demographics
NPI:1841925286
Name:WINICOV, HARPER NICOLE (DOT, OTR/L)
Entity type:Individual
Prefix:MISS
First Name:HARPER
Middle Name:NICOLE
Last Name:WINICOV
Suffix:
Gender:F
Credentials:DOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BLAZE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-8653
Mailing Address - Country:US
Mailing Address - Phone:336-528-0518
Mailing Address - Fax:
Practice Address - Street 1:672 MARINA DR STE 104
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492-9084
Practice Address - Country:US
Practice Address - Phone:336-528-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics