Basic Information
| Provider Information | |||||||||
| NPI: | 1285247122 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FOLKES | ||||||||
| FirstName: | WINSTON | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | OTR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 105 BUROOJY CT | ||||||||
| Address2: | |||||||||
| City: | E STROUDSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 183026843 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5704607157 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1125 FORREST AVE | ||||||||
| Address2: | |||||||||
| City: | DOVER | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199043483 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027354900 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2020 | ||||||||
| LastUpdateDate: | 08/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | DE | Y | 193200000X MULTI-SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.