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Individual

SAMANTHA LEE SCHWIEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
129 6TH AVE SE, PINE CITY, MN 55063-1913
(320) 629-2542
Mailing address
12328 W LARA RD, GRANTSBURG, WI 54840

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2688-19
WI
225200000X
Physical Therapy Assistant
Primary
A2268
MN

Other

Enumeration date
11/10/2017
Last updated
11/10/2017
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