Individual
DR. SAMANTHA DIENERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4861 LINCOLN AVE, SELBY, SD 57472-2036
(605) 649-7663
Mailing address
1011 10TH AVE W, MOBRIDGE, SD 57601-1103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009
SD
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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