Individual
AMY WIBHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5400
(515) 956-4095
(515) 956-4093
Mailing address
205 W WACKER DRIVE, SUITE 1020, CHICAGO, IL 60603-0000
(312) 640-0329
(312) 640-0407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004842
IA
Other
Enumeration date
10/06/2011
Last updated
11/24/2020
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