MR. Bret Deardorff, M.S.

NPI #1629296413 in Lincoln, Nebraska

Provider Information

NPI Number: 1629296413
Entity Type: Individual
Name: MR. Bret Deardorff, M.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Credential: M.S.
Enumeration Date: Apr 24, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 801 W PROSPECTOR PL
Address 2: BOX 94949
City: Lincoln
State: Nebraska
ZIP Code: 68522-1970
Phone: (402) 479-5002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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