Individual
ELIZABETH GRACE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
505 COUCH AVE, KIRKWOOD, MO 63122-5577
(180) 058-4244
Mailing address
521 W ESSEX AVE, KIRKWOOD, MO 63122-3841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2011022976
MO
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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