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Individual

CAROLINE WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12626 LAMPLIGHTER SQUARE SHOPPING CENTER, SAINT LOUIS, MO 63128
(314) 842-4222
Mailing address
4095 BLOW ST, SAINT LOUIS, MO 63116-2776
(314) 644-8422

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2025048516
MO

Other

Enumeration date
01/06/2026
Last updated
01/06/2026
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