Individual
SCOTT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1529 SEABRIGHT AVE, SANTA CRUZ, CA 95062-2528
(831) 458-6230
Mailing address
265 VANESSA LN, SANTA CRUZ, CA 95062-4359
(831) 295-6330
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
PT12105
CA
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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