Individual
CARRIE M TEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Contact information
Practice address
215 S GRANT ST, CLINTON, IL 61727-1926
(904) 347-6808
Mailing address
215 S GRANT ST, CLINTON, IL 61727-1926
(904) 347-6808
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 29267
CA
225100000X
Physical Therapist
Primary
—
IL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
08/09/2007
Last updated
08/10/2007
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