Individual
STACEY DIANE HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 844-2294
(641) 844-2297
Mailing address
312 E MAIN ST, MARSHALLTOWN, IA 50158-1888
(641) 844-2294
(641) 844-2297
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00895
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38038
BLUE CROSS BLUE SHIELD
IA
Enumeration date
01/24/2006
Last updated
07/08/2007
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