Individual
LISA N EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3514 K ST UNIT 1, PHILADELPHIA, PA 19134-1413
(267) 516-1425
(267) 516-1425
Mailing address
3514 K ST UNIT 1, PHILADELPHIA, PA 19134-1413
(267) 516-1425
(267) 516-1425
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
2139132
DE
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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