Jon Thomas Whitehead
Jon Thomas Whitehead is an Occupational Therapist in Private Practice in St. Loius, Missouri. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 37
- Licensed in
- MO
- In the registry since
- 2006
Practice location Address checks out
4144 Lindell Blvd Ste 310St. Loius, MO 63108
Phone: (314) 531-8224
Fax: (314) 531-5683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 001533 (MO) |
|---|
Record details
| NPI number | 1811096886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 22, 2006 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 4144 Lindell Blvd, Suite 310, St. Loius, MO 63108 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |