Archie Chance Winans, DPT
Physical Therapist in Virginia, MN. Individual provider (NPI-1).
NPI number1710697701
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1710697701
- Entity type
- Individual (NPI-1)
- Name
- Mr. Archie Chance Winans
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2022
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 12938 | MN | Yes |
Practice location
901 9th St NVirginia, MN 55792-2325
Phone 218-741-3340
Mailing address
400 E 3rd StDuluth, MN 55805-1951
Phone 218-786-8364
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