# WILSON PHYSICAL THERAPY AND PERFORMANCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capacity Physical Therapy and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942035951
- **Authorized official:** ALEXANDRIA WILSON (DOCTOR OF PHYSICAL THERAPY)
- **Authorized official phone:** (661) 809-7604

## Contact information

- **Practice address:** 645 HANLEY INDUSTRIAL CT, BRENTWOOD, MO 63144-1919
- **Practice address phone:** (314) 200-5733
- **Mailing address:** 2315 MICHIGAN AVE, SAINT LOUIS, MO 63104-1709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024