Individual
LACRETIA COOKE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
25185 HIGHWAY 14, MARION, AL 36756-6038
(334) 247-2042
Mailing address
PO BOX 446, DEMOPOLIS, AL 36732-0446
(334) 247-2042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3253
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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