Individual
ELIZABETH EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
425 WADSWORTH AVE, PHILADELPHIA, PA 19119-1130
(215) 316-9044
Mailing address
425 WADSWORTH AVE, PHILADELPHIA, PA 19119-1130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012622
PA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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