Doctor Name: | STEFANIE L DEDRICK |
NPI Number: | 1811189202 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 029538-1 |
Business Practice Address: | 2827 Us Highway 9 Ocean State Job Lots Plaza Valatie, NY - 12184 |
Business Phone Number: | 5187587616 |
Business Fax Number: | |
Mailing Address: | 2827 Us Highway 9, Ocean State Job Lots Plaza VALATIE |
State: | NY |
Postal Code: | 12184 |
Phone Number: | 5187587616 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2007 |
NPI Last Update Date: | 09/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 029538-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |