Provider Demographics
NPI:1730177338
Name:KERRI L. WINSTON MS M OT OTR L PA
Entity type:Organization
Organization Name:KERRI L. WINSTON MS M OT OTR L PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:WINSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS MOT OTR L
Authorized Official - Phone:954-683-3904
Mailing Address - Street 1:16659 HEMINGWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1100
Mailing Address - Country:US
Mailing Address - Phone:954-683-3904
Mailing Address - Fax:954-530-1027
Practice Address - Street 1:16659 HEMINGWAY DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1100
Practice Address - Country:US
Practice Address - Phone:954-683-3904
Practice Address - Fax:954-530-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-09
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 8479225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty