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Individual
MR. TERRANCE MONTRAL EDWARDS
Active
Individual
MR. TERRANCE MONTRAL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
07348
LA
225100000X
Physical Therapist
12476
NC
225100000X
Physical Therapist
Primary
27002
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27002
STATE LICENSE
FL
Enumeration date
07/21/2008
Last updated
06/14/2018
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