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1952778607
THOMAS REX WHITWORTH
SAINT LOUIS, MO
NPI
1952778607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2015024499)
Enumeration Date
2015-08-28
Last Update Date
2015-08-28
Business Address
Mr. THOMAS REX WHITWORTH PTA
11960 WESTLINE INDUSTRIAL DR #201
SAINT LOUIS, MO 63146-3209
Phone number: 314-819-0480
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Mailing Address
Mr. THOMAS REX WHITWORTH PTA
5421 PERNOD AVE
SAINT LOUIS, MO 63139-1536
Phone number:
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