Individual
SAMANTHA LYNN WEDEMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
605 E J ST, UNIT 200, FOREST CITY, IA 50436-1664
(641) 585-1550
(641) 585-1551
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-1932
(630) 928-5032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
073972
IA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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