Individual
GRANT WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2851 S FOX CT, ENGLEWOOD, CO 80110-1480
(313) 590-5971
Mailing address
2851 S FOX CT, ENGLEWOOD, CO 80110-1480
(313) 590-5971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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