Individual
MR. TIMOTHY LEON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
608 8TH AVE EAST, SPRINGFIELD, TN 37172
(615) 384-8453
Mailing address
4001 MEADOW VIEW CIRCLE, PLEASANT VIEW, TN 37146
(615) 746-0606
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
839
TN
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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