Provider Demographics
NPI:1649238304
Name:STANBERG, CINDY M (OTR L)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:M
Last Name:STANBERG
Suffix:
Gender:F
Credentials:OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 461
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-0461
Mailing Address - Country:US
Mailing Address - Phone:515-382-3366
Mailing Address - Fax:515-382-1576
Practice Address - Street 1:800 OHIO ST
Practice Address - Street 2:
Practice Address - City:WEBSTER CITY
Practice Address - State:IA
Practice Address - Zip Code:50595-2824
Practice Address - Country:US
Practice Address - Phone:515-832-7735
Practice Address - Fax:515-832-9402
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01466225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
05210OtherBCBS ORTMES
05212OtherBCBS INDIANDLE
05199OtherBCBS ALTOONA