NATHAN G WILSON

FLORISSANT, MO
NPI1427230663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  070016087)
Enumeration Date2007-11-29
Last Update Date2015-10-21
Business Address
Mr. NATHAN G WILSON LPT
790 N. HWY 67
FLORISSANT, MO 63031-5108
Phone number: 314-972-1442
Mailing Address
Mr. NATHAN G WILSON LPT
15 APEX DR
HIGHLAND, IL 62249-1282
Phone number: 618-441-0482
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