Individual
ERIN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
490 SE CAREFREE LN, WAUKEE, IA 50263-9678
(515) 987-0324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01480
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29437
WELLMARK BCBS
IA
Enumeration date
04/25/2007
Last updated
07/08/2007
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