ALYSSA WILDE

BRIDGETON, MO
NPI1932730504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  01832)
Enumeration Date2020-01-31
Last Update Date2020-01-31
Business Address
ALYSSA WILDE PT
11988 MARK TWAIN LN
BRIDGETON, MO 63044-2825
Phone number: 314-291-8240
Mailing Address
ALYSSA WILDE PT
12153 LAKE PLACID DR
SAINT LOUIS, MO 63146-5112
Phone number: 314-520-1376
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