Individual
BETHANY DAWN WILLHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7733 FORSYTH BLVD, CLAYTON, MO 63105-1817
(800) 677-1202
Mailing address
240 PAUL AVE, FLORISSANT, MO 63031-6240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
111650
MO
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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