Individual
GAYLE N EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
601 CRAWFORD ST, KELSO, WA 98626-4315
(541) 514-9368
Mailing address
508 5TH ST, KIEL, WI 53042-1341
(541) 514-9368
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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