Individual
ALEXANDRA ERIN WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, ATC
Contact information
Practice address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8660
(314) 434-1115
Mailing address
1 COLLEGE PARK DR, SAINT LOUIS, MO 63141-8660
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2017026092
MO
Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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