Doctor Name: | MR. WINSTON RYDER WITHERELL |
NPI Number: | 1679552343 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 1593 |
Business Practice Address: | 300 Tuskegee Blvd 436 Medical Group Dover Afb, DE - 199025003 |
Business Phone Number: | 3026772568 |
Business Fax Number: | 3026772540 |
Mailing Address: | 300 Tuskegee Blvd, 436 Medical Group DOVER AFB |
State: | DE |
Postal Code: | 199025003 |
Phone Number: | 3026772568 |
Fax Number: | 3026772540 |
NPI Enumeration Date: | 01/11/2006 |
NPI Last Update Date: | 04/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |