Individual
MS. MANDY MARIE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 632-8795
(218) 631-5214
Mailing address
415 JEFFERSON ST N, WADENA, MN 56482-1264
(218) 632-8795
(218) 631-5214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2404
MN
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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