Individual
AMELIA BARBARA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5250 GALAXIE DR, SUITE K, JACKSON, MS 39206-4311
(601) 368-4570
(601) 368-4571
Mailing address
5250 GALAXIE DR, SUITE K, JACKSON, MS 39206-4311
(601) 368-4570
(601) 368-4571
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1157
MS
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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