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Individual

DR. CHARLES WARREN EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, ATC

Contact information

Practice address
73 OLD DUBLIN PIKE, SUITE 6, DOYLESTOWN, PA 18901-2491
(214) 489-1701
(215) 489-1705
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209845
VA
225100000X
Physical Therapist
Primary
PT024958
PA
2255A2300X
Athletic Trainer
002610
NY
2255A2300X
Athletic Trainer
RT005795
PA

Other

Enumeration date
10/24/2014
Last updated
02/08/2016
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