Individual
DARRYL BLAKE WITHROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
931 YORK DR, SUITE A, DESOTO, TX 75115-2043
(972) 296-6645
(972) 296-4526
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1287741
TX
Other
Enumeration date
02/17/2017
Last updated
06/04/2024
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