Individual
SAMANTHA WEIFFENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
430 5TH ST N, BRECKENRIDGE, MN 56520-1426
(701) 403-1120
Mailing address
430 5TH ST N, BRECKENRIDGE, MN 56520-1426
(218) 641-7725
(218) 641-6625
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1302A
ND
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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