Individual
MR. BRET DEARDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
801 W PROSPECTOR PL, BOX 94949, LINCOLN, NE 68522-1970
(402) 479-5002
Mailing address
5824 S 114TH ST, OMAHA, NE 68137-3684
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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