Individual
BRIAN JORDON EDGEWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5629 PLANK RD STE 107, FREDERICKSBURG, VA 22407-7216
(540) 445-0206
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 373-2919
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606279
VA
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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