Individual
CRAIG JON EDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
541 N FRANKLIN ST STE 1, SHAMOKIN, PA 17872-6754
(570) 644-9801
Mailing address
249 12TH ST, NORTHUMBERLAND, PA 17857-1317
(570) 441-5290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000678
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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