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Individual

MRS. JEANNE MARIE FUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
14817 DELLWOOD DR, URBANDALE, IA 50323-2429
(515) 229-0629
Mailing address
14817 DELLWOOD DR, URBANDALE, IA 50323-2429
(515) 229-0629

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00612
IA

Other

Enumeration date
09/22/2008
Last updated
09/22/2008
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