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Individual

DANIEL J DREY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1825 29TH ST NE, CEDAR RAPIDS, IA 52402-3452
(319) 362-6994
(319) 368-3399
Mailing address
4709 MONTCLAIR DR NW, CEDAR RAPIDS, IA 52405-2825
(319) 265-0314

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3161
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0268151
IA
01
47962
WELLMARK
IA
Enumeration date
06/17/2005
Last updated
07/08/2007
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