Individual
KATHLEEN WITHROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
7101 MAJESTIC CT, VALLEJO, CA 94591-8553
17073633113
Mailing address
7101 MAJESTIC CT, VALLEJO, CA 94591-8553
17073633113
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT15906
CA
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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