Individual
SAMANTHA L WILLMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-1000
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8563
WI
Other
Enumeration date
04/02/2024
Last updated
03/11/2025
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