Individual
KRISTIN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
635 COMMONWEALTH AVE, BOSTON, MA 02215-1605
(617) 353-2713
Mailing address
635 COMMONWEALTH AVE, BOSTON, MA 02215-1605
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300554
CA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2019
Last updated
08/20/2021
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