Individual
MS. BRENDA DEIDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5444
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5444
Taxonomy
Speciality
Code
Description
License number
State
2251H1200X
Hand Physical Therapist
Primary
PT10142
CA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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