MRS. Tredea R Detrick

NPI #1336409630 in Fernley, Nevada

Provider Information

NPI Number: 1336409630
Entity Type: Individual
Name: MRS. Tredea R Detrick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Rehabilitation Practitioner
Enumeration Date: May 21, 2012
Last Updated: May 21, 2012

Practice Location

Address: 1015 JENNYS LN
City: Fernley
State: Nevada
ZIP Code: 89408-9325
Phone: (775) 750-1864

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Rehabilitation Practitioner	225400000X	Primary

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