Individual
AMANDA ROSE WILMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3639 N SAINT PETERS PKWY, SAINT PETERS, MO 63376-7303
(636) 441-7500
(636) 441-3004
Mailing address
3639 N SAINT PETERS PKWY, SAINT PETERS, MO 63376-7303
(636) 441-7500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2013043402
MO
Other
Enumeration date
05/08/2014
Last updated
05/20/2015
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