Individual
THOMAS A WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
221 SPENCER RD STE D, SAINT PETERS, MO 63376-2438
(636) 477-9911
(636) 477-9929
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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