Individual
JUSTINE ALANE WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
179 EUREKA TOWNE CENTER DR, EUREKA, MO 63025-1031
(636) 206-6725
Mailing address
647 SPIRIT AIRPARK WEST DR STE 101, CHESTERFIELD, MO 63005-1032
(636) 206-4225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022030950
MO
Other
Enumeration date
02/23/2023
Last updated
03/23/2023
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