Individual
MR. DOUGLAS BRIAN WILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
333 S KIRKWOOD RD, SUITE 201, KIRKWOOD, MO 63122-6161
(314) 909-4848
(314) 909-4824
Mailing address
14450 S OUTER 40 RD, CHESTERFIELD, MO 63017-5711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.013844
IL
225100000X
Physical Therapist
Primary
2014016140
MO
Other
Enumeration date
08/24/2006
Last updated
05/30/2014
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