Individual
EDWIN G RISING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1605 ST RT 60, STE 3, VERMILION, OH 44089
(440) 967-2508
(440) 967-4023
Mailing address
1605 ST RT 60, STE 3, VERMILION, OH 44089
(440) 967-2508
(440) 967-4023
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009724
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000325525
ANTHEM BLUE CROSS
OH
Enumeration date
05/16/2006
Last updated
08/28/2007
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