Individual
MR. THOMAS REX WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11960 WESTLINE INDUSTRIAL DR, #201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
5421 PERNOD AVE, SAINT LOUIS, MO 63139-1536
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015024499
MO
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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