Individual
RENAE ELLEN BIEBL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
(952) 831-1626
Mailing address
8100 NORTHLAND DR, BLOOMINGTON, MN 55431-4800
(952) 831-8742
(952) 831-1626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102651
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320P4RE
BLUECROSS BLUESHIELD
MN
05
—
370487400
—
MN
05
—
40899700
—
WI
01
—
6405992
MEDICA
MN
01
—
HP51448
HEALTHPARTNERS
MN
Enumeration date
05/16/2006
Last updated
02/02/2012
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