Individual
MS. LINDA DETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
3390 SAXONBURG BLVD STE 250, GLENSHAW, PA 15116-3160
(412) 767-5967
Mailing address
1504 FOREST EDGE CT, WEXFORD, PA 15090-9599
(724) 935-1178
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MSG005220
PA
225X00000X
Occupational Therapist
Primary
OC011976
PA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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