Individual
CEDRIC MITCHELL DE VRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
200 MUIR RD, MARTINEZ, CA 94553-4614
(925) 372-1260
Mailing address
45 ARREBA ST, MARTINEZ, CA 94553-2407
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 15201
CA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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