Individual
MRS. MEGAN LYNN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3801 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3889
(812) 886-4677
Mailing address
5306 COTTONWOOD DR, GODFREY, IL 62035-1905
(618) 402-4702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003748
IL
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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