Individual
CARRIE SUE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
450 W 6TH ST, YUMA, AZ 85364-2973
(928) 502-4300
Mailing address
11180 E 27TH ST, YUMA, AZ 85367-7292
(928) 246-1234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2666
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
803892
—
AZ
Enumeration date
02/07/2007
Last updated
10/08/2014
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