Individual
JENNIFER EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1341 PARADISE RD, EDENTON, NC 27932-8503
(252) 482-2538
Mailing address
22355 US HIGHWAY 64, WILLIAMSTON, NC 27892-9708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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