Individual
KATIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 353-3343
(812) 353-3346
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-2154
(812) 353-5228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005151A
IN
Other
Enumeration date
10/14/2013
Last updated
03/06/2018
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