Individual
JADA ALEXIS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 W WARREN ST, SHELBY, NC 28150-5023
(704) 473-1675
(980) 701-0008
Mailing address
270 CONIFER WAY, SHELBY, NC 28150-7302
(704) 473-1675
(980) 701-0008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14972
NC
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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