Samantha Lauren Wallenberg, MS, OTD, OTR/L
Occupational Therapist · Prophetstown, IL
Practice location
310 Mosher DrProphetstown, IL 61277-1001
- Phone
- (309) 525-0231
NPI record
- NPI
- 1306682208
- Entity type
- Individual (Type 1)
- Enumeration date
- July 1, 2024
- Last updated
- July 1, 2024
- Certified
- July 1, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X |
056.013694 | IL |
Mailing address
2536 W Cortez St Apt BFChicago, IL 60622-3456
- Phone
- (224) 595-8744
About Samantha Wallenberg
Samantha Lauren Wallenberg, MS, OTD, OTR/L is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 310 Mosher Dr, Prophetstown, IL 61277-1001. The NPI number 1306682208 was assigned on July 1, 2024 and the record was last updated on July 1, 2024.
Samantha Wallenberg lists a license in the registry: #056.013694 (IL) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Samantha Lauren Wallenberg, MS, OTD, OTR/L?
The NPI number is 1306682208.
What is the phone number of Samantha Wallenberg?
The phone number listed for the practice location is (309) 525-0231.
Where is Samantha Wallenberg located?
310 Mosher Dr, Prophetstown, IL 61277-1001.
What is the taxonomy code for Samantha Wallenberg?
The primary taxonomy code is 225X00000X – Occupational Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Occupational Therapist providers in Prophetstown
- Daniel John Howard, OTR/L513 Washington St