Provider Demographics
NPI:1730306978
Name:RUND, DANA MARIE (MS, OTR)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:RUND
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 LAS OLAS CT
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8432
Mailing Address - Country:US
Mailing Address - Phone:219-308-5962
Mailing Address - Fax:219-662-1974
Practice Address - Street 1:124 LAS OLAS CT
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8432
Practice Address - Country:US
Practice Address - Phone:219-308-5962
Practice Address - Fax:219-662-1974
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31003293A225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics