ELAINE WILDER

SAINT LOUIS, MO
NPI1821127812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  R0953)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
-- ELAINE WILDER PT
3437 CAROLINE ST ROOM 1015
SAINT LOUIS, MO 63104-1111
Phone number: 314-977-8538
Mailing Address
-- ELAINE WILDER PT
807 WAYFARER DR
MANCHESTER, MO 63021-7523
Phone number: 314-977-8505
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