Individual
MARY RENAE HUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1454 30TH ST, SUITE 103, WEST DES MOINES, IA 50266-1305
(515) 223-6620
(515) 223-9625
Mailing address
1454 30TH ST, SUITE 103, WEST DES MOINES, IA 50266-1305
(515) 223-6620
(515) 223-9625
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00713
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665190
—
IA
Enumeration date
05/20/2008
Last updated
05/20/2008
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