Individual
CARLA M WIMMLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5275 QUAIL RIDGE PKWY, WENTZVILLE, MO 63385-3553
(636) 327-3863
(636) 327-5634
Mailing address
1 CAMPUS DR, WENTZVILLE, MO 63385-3415
(636) 327-3800
(636) 327-8611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0310760
MO
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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