NPI 1629296413
Bret Deardorff, MS
Practice location
- Address
- 801 W Prospector Pl Box 94949, Lincoln, NE 68522-1970
- Phone
- (402) 479-5002
- Mailing address
- 5824 S 114th St, Omaha, NE 68137-3684
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1629296413
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Apr 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.