Individual
MRS. KEVA RENEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 10TH ST, SNOHOMISH, WA 98290-2131
(360) 568-3161
Mailing address
16116 ASH WAY APT 302, LYNNWOOD, WA 98087-8777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1103685
KS
225100000X
Physical Therapist
PT008855
GA
225100000X
Physical Therapist
Primary
PT60026799
WA
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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