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Individual

EDDY E EDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
400 W CUMMINGS PARK STE 3950, WOBURN, MA 01801-6538
(845) 313-9477
Mailing address
33 MAIN ST # B, HIGHLAND, NY 12528-1407
(845) 616-9894

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006553-1
NY

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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