Individual
MRS. CYNTHIA WITHROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 898-4258
Mailing address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(219) 764-4888
(219) 898-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093122
ANTHEM PIN
IN
05
—
200216780
—
IN
01
—
200644210
FIRST STEPS
IN
Enumeration date
11/01/2006
Last updated
08/27/2024
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