Individual
DORIS T EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21905 US HIGHWAY 19 N, CLEARWATER, FL 33765-2342
(727) 669-4245
(727) 669-6835
Mailing address
10331 BELLTOWER ST, SPRING HILL, FL 34608-2000
(352) 666-5197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA18930
FL
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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