Individual provider · Type 1 NPI

Angelina M. Wills, ATC

Specialist · St. Louis, MO

NPI number 1003170622 Active

Practice location

3330 Laclede Ave, Chaifetz Arena
St. Louis, MO 63103-2014

Call (314) 977-7018 Map

Fax (314) 977-3183

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2005005317 (MO)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1003170622

Angelina M. Wills, ATC's National Provider Identifier is 1003170622, issued on Jun 28, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jun 28, 2012.