Individual
AMANDA PAIGE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
234 WEST STREET SOUTH, SOUTHVIEW PLAZA SUITE #4, GRINNELL, IA 50112-9998
(641) 236-4506
(641) 236-4316
Mailing address
234 WEST STREET SOUTH, SOUTHVIEW PLAZA SUITE #4, GRINNELL, IA 50112-9998
(641) 236-4506
(641) 236-4316
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
005091
IA
225100000X
Physical Therapist
005091
IA
Other
Enumeration date
01/24/2013
Last updated
03/14/2014
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