Individual
CEARA ROSE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1373 N AVENUE C, ELGIN, TX 78621-1528
(512) 285-2459
Mailing address
1114 CAMINO LA COSTA APT 2004, AUSTIN, TX 78752-3950
(956) 346-3310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214875
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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