Individual
JEFFREY EDMONSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1035 N 24TH ST, APT M3C, ALLENTOWN, PA 18104-3693
(570) 772-2803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009826
PA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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