Individual
DAVID ALAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CVRT
Contact information
Practice address
5000 S 5HT AVE, BUILDING 113, HINES, IL 60141
(708) 202-8387
Mailing address
3134 CLEVELAND ST, HAMMOND, IN 46323-1152
Taxonomy
Speciality
Code
Description
License number
State
2255R0406X
Blind Rehabilitation Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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