Individual
MR. SYLVESTER LEE EDMONDSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7213 289TH PL NW, STANWOOD, WA 98292-8409
(360) 840-1922
Mailing address
7213 289TH PL NW, STANWOOD, WA 98292-8409
(360) 840-1922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161003645
WA
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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