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Individual

CHAD A. EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
10004 204TH AVE E, STE 3100, BONNEY LAKE, WA 98391-6539
(253) 863-7510
(253) 863-5970
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010568
WA

Other

Enumeration date
07/27/2007
Last updated
11/16/2015
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