Deidra Ann Tedders OTR/L

NPI 1619107182 - Occupational Therapist - 225X00000X

NPI Details
NPI 1619107182
Gender Female
Enumeration Date 07/19/2009
Last Updated 07/19/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1013 RIVERBURCH PKWY
SUITE 4
DALTON GA, 30721-8887, US
Phone (866) 261-8090
Fax (706) 226-7869
Business Location
1013 RIVERBURCH PKWY
SUITE 4
DALTON GA, 30721-8887, US
Phone (866) 261-8090
Fax (706) 226-7869
Toxanomy
Taxonomy Code 225X00000X
License State Georgia
License Number OT001197
Remove 1619107182 NPI Number
 

According to our database, Deidra Ann Tedders OTR/L NPI is 1619107182, taxonomy code is 225X00000X and license number is OT001197, license state is located at Georgia. Deidra Ann Tedders OTR/L physically located at 1013 Riverburch Pkwy, Dalton GA, 30721-8887. NPI Number Deidra Ann Tedders OTR/L has the Individual type.

Sponsored links

1619107182 NPI number is provided on an as is basis without warranty of any kind. 1619107182 is maintained by the National Plan & Provider Enumeration System. The contents of Deidra Ann Tedders OTR/L are for informational purposes only.