Individual
MS. LEIGH MCGOVERN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2006023691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
480051967
—
MO
Enumeration date
09/15/2016
Last updated
04/17/2025
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