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Individual
TENESHA H EDWARDS
Active
Individual
TENESHA H EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
04547R
LA
225100000X
Physical Therapist
Primary
1170940
TX
225100000X
Physical Therapist
PT3334
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123867
—
MS
05
—
1722260
—
LA
01
—
5642510
FIRST HEALTH/CCN GROUP
—
01
—
721598124
GEHA/PPO USA
—
01
—
7947237
AETNA
—
Enumeration date
06/30/2006
Last updated
07/04/2020
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