Individual
ALICIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1832 WENTZVILLE PKWY, WENTZVILLE, MO 63385-3817
(636) 327-7110
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2014025027
MO
Other
Enumeration date
11/10/2015
Last updated
02/09/2021
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