Individual
MARY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1633 HILLWOOD DR, KETTERING, OH 45439-2523
(937) 266-8755
Mailing address
1633 HILLWOOD DR, KETTERING, OH 45439-2523
(937) 266-8755
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RCP.10780
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11031984
—
OH
Enumeration date
12/30/2021
Last updated
12/30/2021
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