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1265216634
SAMANTHA WEIFFENBACH
BRECKENRIDGE, MN
NPI
1265216634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ND 1302A)
Enumeration Date
2023-08-24
Last Update Date
2023-08-24
Business Address
SAMANTHA WEIFFENBACH PTA
430 5TH ST N
BRECKENRIDGE, MN 56520-1426
Phone number: 701-403-1120
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Mailing Address
SAMANTHA WEIFFENBACH PTA
430 5TH ST N
BRECKENRIDGE, MN 56520-1426
Phone number: 218-641-7725
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