Individual
CAROL EDVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
128 TYLER CT, CANADENSIS, PA 18325-7803
(603) 667-7384
Mailing address
128 TYLER CT, CANADENSIS, PA 18325-7803
(603) 667-7384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT025626
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01AI68397
BLUE CROSS BLUE SHIELD
VT
01
—
08Y007904NH01
BCBS NH
NH
01
—
1173197
CIGNA HEALTHCARE
—
01
—
2281038
FIRST HEALTH
—
05
—
303935CB
—
NH
01
—
3713145
AETNA
—
01
—
4130028
MVP
—
01
—
610995100
DEPT OF LABOR
—
01
—
AA24796
HARVARD PILGRIM
—
05
—
ORE8056
—
VT
Enumeration date
08/28/2006
Last updated
08/29/2023
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