Individual
NATALIE D EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11 CENTRE ST, SALEM, CT 06420-3844
(860) 949-2561
Mailing address
11 CENTRE ST, SALEM, CT 06420-3844
(860) 949-2561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001812
CT
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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