IndividualActive
Alicia Wilson, MOT
NPI 1356714547 · Pediatric Occupational Therapist · Wentzville, MO
Provider details
- NPI number
- 1356714547
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT
- Sex
- Female
- Sole proprietor
- No
- License
- 2014025027 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1832 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone: (636) 327-7110
Approximate (ZIP-level) locationGet directions
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Additional practice locations (1)
- 2670 Zumbehl RdSaint Charles, MO 63301-1134Phone: (636) 734-1394
Registry dates
- Enumerated
- 2015-11-10
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.