Individual
KATHLEEN TEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
9171 MENTOR AVE, MENTOR, OH 44060-6676
(440) 354-8222
Mailing address
9171 MENTOR AVE, MENTOR, OH 44060-6676
(440) 645-0393
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
03049
OH
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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