Individual
REINA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
111 GOOSE RUN LN, FAIRMONT, WV 26554-1309
(304) 534-0124
Mailing address
111 GOOSE RUN LN, FAIRMONT, WV 26554-1309
(304) 534-0124
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004796
WV
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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