Individual
TE'SARAH EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 TWINRIDGE LN, NORTH CHESTERFIELD, VA 23235-5282
(804) 272-1927
Mailing address
6704 W CARNATION ST APT A, RICHMOND, VA 23225-7928
(434) 713-2651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002410
VA
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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