TIMOTHY MARVIN WITHERSPOON

LONG BEACH, CA
NPI1326369125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-06-15
Last Update Date2010-06-15
Business Address
-- TIMOTHY MARVIN WITHERSPOON
2931 REDONDO AVE
LONG BEACH, CA 90806-2445
Phone number: 562-490-7600
Mailing Address
-- TIMOTHY MARVIN WITHERSPOON
1030 SUNBEAM LN
CORONA, CA 92881-8765
Phone number: