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Organization

WILSON PHYSICAL THERAPY AND PERFORMANCE

Active
Other names
Capacity Physical Therapy and Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
ALEXANDRIA WILSON (DOCTOR OF PHYSICAL THERAPY)
(661) 809-7604
Entity
Organization

Contact information

Practice address
645 HANLEY INDUSTRIAL CT, BRENTWOOD, MO 63144-1919
(314) 200-5733
Mailing address
2315 MICHIGAN AVE, SAINT LOUIS, MO 63104-1709

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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