Individual
TREVOR HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
619 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
(812) 232-3504
Mailing address
619 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
(812) 232-3504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007660A
IN
Other
Enumeration date
03/07/2022
Last updated
03/14/2022
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