Individual
DIANE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1424 MARTIN LUTHER KING JR LN, TEMPLE, TX 76504-5941
(254) 791-8280
Mailing address
2 WALNUT RD, BELTON, TX 76513-9239
(254) 541-6131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1078715
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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