Individual
ERIN WILCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 MCKELVEY RD, BRIDGETON, MO 63044-2525
(217) 622-4334
Mailing address
3454 WYOMING ST APT A, SAINT LOUIS, MO 63118-2019
(217) 622-4334
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2018028645
MO
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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