Provider Demographics
NPI:1952748311
Name:3 CIRCLES THERAPY: OT, PT, SLP SERVICES PLLC
Entity Type:Organization
Organization Name:3 CIRCLES THERAPY: OT, PT, SLP SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/PART OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WINCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:315-820-8014
Mailing Address - Street 1:23 MEXICO ST
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NY
Mailing Address - Zip Code:13316-1203
Mailing Address - Country:US
Mailing Address - Phone:315-820-8014
Mailing Address - Fax:
Practice Address - Street 1:23 MEXICO ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NY
Practice Address - Zip Code:13316-1203
Practice Address - Country:US
Practice Address - Phone:315-820-8014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-25
Last Update Date:2013-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency