Individual
ALIYAH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225200000X
Physical Therapy Assistant
Primary
0015439
CO
225200000X
Physical Therapy Assistant
—
CO
Other
Enumeration date
11/19/2020
Last updated
11/02/2023
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