Individual
MS. WENDY JO LEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2104 12TH ST, HARLAN, IA 51537-2023
(712) 755-5174
Mailing address
15553 ADAMS ST APT 203, OMAHA, NE 68137-5208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1245
IA
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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