Individual
ABBY RAE REZANSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 S ANKENY BLVD, BUILDING 6, ANKENY, IA 50023-8995
(515) 289-9541
(515) 446-3642
Mailing address
1200 PLEASANT ST, SOUTH 2 ROOM 236, DES MOINES, IA 50309-1406
(515) 241-6228
(515) 241-8685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
082377
IA
225100000X
Physical Therapist
PT4260
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508265091
—
IA
Enumeration date
08/20/2014
Last updated
05/04/2017
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