Individual
EMILY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1711 FRATE BARKER RD, AUSTIN, TX 78748-3600
(512) 981-9574
Mailing address
8307 RACINE TRL, AUSTIN, TX 78717-5325
(512) 299-2989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1157210
TX
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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