Individual
BRIAN EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 MEDICAL DR, CARMEL, IN 46032-3323
(317) 573-1037
Mailing address
624 E ANTLER CT, ELLETTSVILLE, IN 47429-1905
(618) 889-3506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003724A
IN
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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