Individual
DEIDRE MARIE BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
550 MIRABEAU ST, GREENFIELD, OH 45123-1617
(937) 981-9284
(937) 981-9442
Mailing address
550 MIRABEAU ST, GREENFIELD, OH 45123-1617
(937) 981-9284
(937) 981-9442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8922
OH
2255A2300X
Athletic Trainer
755
OH
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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