Individual
MR. WINSTON RYDER WITHERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 TUSKEGEE BLVD, 436 MEDICAL GROUP, DOVER AFB, DE 19902-5003
(302) 677-2568
(302) 677-2540
Mailing address
300 TUSKEGEE BLVD, 436 MEDICAL GROUP, DOVER AFB, DE 19902-5003
(302) 677-2568
(302) 677-2540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1593
WV
Other
Enumeration date
01/11/2006
Last updated
04/26/2011
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