Individual
BRENDA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9 BALMORAL DR STE A, POPLARVILLE, MS 39470-3344
(601) 365-9868
(601) 746-5102
Mailing address
PO BOX 956, POPLARVILLE, MS 39470-0956
(601) 365-9868
(601) 746-5102
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2931
MS
Other
Enumeration date
08/14/2020
Last updated
09/03/2020
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