Individual
TONYA L EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9190 PRIORITY WAY W DR, SUITE 110, INDIANAPOLIS, IN 46240
(317) 805-4963
(317) 818-0720
Mailing address
9190 PRIORITY WAY W DR, SUITE 110, INDIANAPOLIS, IN 46240
(317) 805-4963
(317) 818-0720
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31002545A
IN
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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