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Individual

MS. ANGELA T. WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1010 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1202
(620) 340-5085
Mailing address
1010 N JESSE JAMES RD, EXCELSIOR SPRINGS, MO 64024-1202
(620) 340-5085

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-02529
KS
225100000X
Physical Therapist
Primary
2009027345
MO

Other

Enumeration date
04/19/2007
Last updated
08/05/2022
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