Individual
MRS. KRISTIN DAVIS EDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
12013 MASON DR, QUANTICO, VA 22134-2083
(704) 996-7131
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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