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Individual

DR. LEXI KATHLEEN WISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
401 HOLLY HILLS AVE, SAINT LOUIS, MO 63111-2410
(314) 353-5190
(314) 353-7631
Mailing address
7634 W BRUNO AVE, SAINT LOUIS, MO 63117-2155
(309) 242-0220

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018023476
MO

Other

Enumeration date
10/25/2018
Last updated
01/25/2022
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