Individual
KELSEY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
200 MARION DR, POLAND, OH 44514-3734
(330) 881-4054
Mailing address
200 MARION DR, POLAND, OH 44514-3734
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69913
OH
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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