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NPI Code Detail

MEDICARE: MS. BERNADETTE MARIE REDE PT

MEDICARE: MS. BERNADETTE MARIE REDE PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT19151CA

General Provider Information

NPI Number : 1689890329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BERNADETTE MARIE REDE PT
Provider Business Mailing Address
First Line : 10 HARRIS CT BLDG A
Second Line : STE A1
City : MONTEREY
State : CA
Zip : 93940-5704
Country : US
Telephone Number : 831-643-9788
Fax Number : 831-657-0161
Provider Business Practice Location Address
First Line : 10 HARRIS CT BLDG A
Second Line : STE A1
City : MONTEREY
State : CA
Zip : 93940-5704
Country : US
Telephone Number : 831-643-9788
Fax Number : 831-657-0161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2007
Last Update Date : 04/23/2008

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Directions to “ MS. BERNADETTE MARIE REDE PT” Practice Location

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