Individual
JEFFREY LYNN EDWARDS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014851A
IN
225100000X
Physical Therapist
PT0000010836
TN
Other
Enumeration date
09/20/2016
Last updated
11/03/2022
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