Individual
SAVANNAH ROSE DEDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 EDISON ST, BRUSH, CO 80723-1609
(970) 842-2825
Mailing address
2200 EDISON ST, BRUSH, CO 80723-1609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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