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Individual

MR. TOBY REED EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTA

Contact information

Practice address
850 12TH AVE, FT WORTH, TX 76104-2516
(817) 882-8289
Mailing address
1701 E DEBBIE LN APT 1406, MANSFIELD, TX 76063-4132
(806) 402-0284

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206163
TX

Other

Enumeration date
04/08/2018
Last updated
04/08/2018
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