Individual
MS. ASHLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4444 FOREST PARK AVE, DEPT OCCUPATIONAL THERAPY, STE 2210, SAINT LOUIS, MO 63108-2212
(314) 286-1669
(314) 289-6131
Mailing address
PO BOX 60352, SAINT LOUIS, MO 63160-0352
(314) 286-1669
(314) 289-6131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2022020576
MO
Other
Enumeration date
06/26/2023
Last updated
04/25/2024
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