Individual
DR. ANNASTATIA REBAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
415 10TH AVE, P.O. 5637, CORALVILLE, IA 52241-2389
(319) 338-6043
(319) 338-7739
Mailing address
1414 ESTHER ST, IOWA CITY, IA 52240-2586
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00552
IA
231H00000X
Audiologist
00833
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0493155
—
IA
Enumeration date
03/06/2007
Last updated
07/08/2007
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