Provider Demographics
NPI:1114205986
Name:GIRLING, DEANNA SUE
Entity Type:Individual
Prefix:
First Name:DEANNA
Middle Name:SUE
Last Name:GIRLING
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:DEANNA
Other - Middle Name:
Other - Last Name:RIES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 W MAY ST
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:IA
Mailing Address - Zip Code:52301-1261
Mailing Address - Country:US
Mailing Address - Phone:319-642-8949
Mailing Address - Fax:319-642-8003
Practice Address - Street 1:300 W MAY ST
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:IA
Practice Address - Zip Code:52301-1261
Practice Address - Country:US
Practice Address - Phone:319-642-8040
Practice Address - Fax:319-642-8003
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-28
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00352224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant