Provider Demographics
NPI:1114202751
Name:DHEDHI, REGULA MARIA (ACSM CES)
Entity Type:Individual
Prefix:
First Name:REGULA
Middle Name:MARIA
Last Name:DHEDHI
Suffix:
Gender:F
Credentials:ACSM CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:902 HOLIDAY CT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94518-3423
Mailing Address - Country:US
Mailing Address - Phone:925-566-8437
Mailing Address - Fax:
Practice Address - Street 1:902 HOLIDAY CT
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94518-3423
Practice Address - Country:US
Practice Address - Phone:925-566-8437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist