Individual
SAMANTHA IMHOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 S EAST ST, CORYDON, IA 50060-1860
(641) 872-5278
Mailing address
PO BOX 461, NEVADA, IA 50201-0461
(515) 382-3366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
087733
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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