Individual
CONNIE EDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 LEITCHFIELD RD, OWENSBORO, KY 42303-0861
(270) 684-0464
Mailing address
13412 US HIGHWAY 431 N, CENTRAL CITY, KY 42330-5833
(270) 543-9774
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
135308
KY
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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