Individual
DOROTHY EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 EASTERN AVE, NASHVILLE, NC 27856-1716
(252) 459-5220
Mailing address
24777 US HIGHWAY 64, WILLIAMSTON, NC 27892-7733
(252) 792-5718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1280
NC
225200000X
Physical Therapy Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1280
PHYSICAL THERAPIST ASST
NC
01
—
2251500000X
NPI
NC
Enumeration date
11/12/2008
Last updated
11/12/2008
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