Individual
CHRISTY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5933 S HIGHWAY 94, SUITE 204, WELDON SPRING, MO 63304-5610
(636) 300-4300
(636) 300-4301
Mailing address
5933 S HIGHWAY 94, SUITE 204, WELDON SPRING, MO 63304-5610
(636) 300-4300
(636) 300-4301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1999140686
MO
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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