Individual
EVA MARIE WITHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
2828 MAPLEWOOD AVE, SUITE A, WINSTON SALEM, NC 27103-4138
(336) 765-4703
(336) 765-1396
Mailing address
1910 N CHURCH ST, SUITE D, GREENSBORO, NC 27405-5666
(336) 274-7480
(336) 274-8903
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P15567
NC
Other
Enumeration date
05/06/2015
Last updated
05/07/2015
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