Individual
MS. JANE LEWIS WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7733 FORSYTH BLVD, SUITE 2300, SAINT LOUIS, MO 63105-1817
(314) 863-7422
(314) 645-8271
Mailing address
63 MARSHALL PL, WEBSTER GROVES, MO 63119-2320
(314) 963-7505
(314) 961-7033
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000630
MO
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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