DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMANTHA LAUREN WALLENBERG, MS, OTD, OTR/L

Active

SAMANTHA LAUREN WALLENBERG, MS, OTD, OTR/L is a Occupational Therapist healthcare provider located in PROPHETSTOWN, Illinois. NPI 1306682208 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PROPHETSTOWN, IL

Registration Details

NPI Number
1306682208
Provider Type
Individual
Gender
Female
NPI Issued
Jul 1, 2024 (2.120522463678 yrs)
Last Updated
Jul 1, 2024
License
056.013694 (IL)

Practice Information

Address
310 MOSHER DR
PROPHETSTOWN, IL, 612771001
Browse IL providers · Browse ZIP 61277
Phone
3095250231
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in PROPHETSTOWN, IL

Name Credential NPI
MR. DANIEL JOHN HOWARD OTR/L 1659560662
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.