Individual
DAWN EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 LAKEMONT DR, BRANDON, FL 33510-2571
(813) 601-5974
Mailing address
629 LAKEMONT DR, BRANDON, FL 33510-2571
(813) 601-5974
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13811
FL
Other
Enumeration date
04/02/2017
Last updated
04/02/2017
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