Individual
MRS. RUNDI MARIE PRIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2300 SWAN LAKE BLVD, SUITE 103, INDEPENDENCE, IA 50644-9707
(319) 334-4311
Mailing address
2113 255TH ST, INDEPENDENCE, IA 50644-9854
(319) 334-4311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03475
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37046
BCBS PROVIDER #
IA
Enumeration date
03/21/2007
Last updated
07/08/2007
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