Individual
MILDRED WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 COEUR DE VILLE DR, CREVE COEUR, MO 63141-6603
(314) 453-7311
Mailing address
9001 PARKSHIRE CT, SAINT LOUIS, MO 63126-2423
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2001009066
MO
Other
Enumeration date
05/18/2015
Last updated
05/29/2025
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