Individual
CORI LYNN EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7262 APPLE GROVE LN, TEMPERANCE, MI 48182-1568
(419) 346-6980
Mailing address
7262 APPLE GROVE LN, TEMPERANCE, MI 48182-1568
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.009133
OCCUPATIONAL THERAPY LICENSE
OH
Enumeration date
09/12/2017
Last updated
06/16/2018
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