Individual
ALEXANDRIA NOELLE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
3518 LACLEDE AVE, SAINT LOUIS, MO 63103-2011
(314) 977-2323
Mailing address
4475 W PINE BLVD APT 604, SAINT LOUIS, MO 63108-2315
(661) 809-7604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1363641
TX
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/26/2017
Last updated
08/24/2022
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