Individual
KENDRA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-3402
Mailing address
1103 W DEERBROOK DR, PEORIA, IL 61615-1018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007490
KY
225100000X
Physical Therapist
070026629
IL
225100000X
Physical Therapist
Primary
092166
IA
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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