Individual
JILL NICOLE WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
740 MILL HILL RD, SAINT CLAIR, MO 63077-1530
(314) 920-2906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2017025119
MO
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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