Individual
LOVAN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
90 ROOSEVELT AVE, MASSAPEQUA, NY 11758-6824
(516) 451-9798
Mailing address
90 ROOSEVELT AVE, MASSAPEQUA, NY 11758-6824
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
NY
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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