Individual
LISA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2349
(413) 788-2171
Mailing address
35 CANADIAN GEESE RD, SOUTH ATTLEBORO, MA 02703-6851
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00252
MA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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