Trenda Deaver, PT

NPI #1316140031 in Fairview Heights, Illinois

Provider Information

NPI Number
1316140031
Entity Type
Individual
Name
Trenda Deaver, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jun 8, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
141 MARKET PL
Address 2
SUITE 203
ZIP Code
62208-2034
Phone
(618) 398-4118

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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