Individual
MS. DENISE MARION EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11401 OLD SAINT AUGUSTINE RD # 407, JACKSONVILLE, FL 32258-1402
(631) 807-5655
Mailing address
407 SERVIA DR # 407, ST JOHNS, FL 32259-2236
(631) 807-5655
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30575
FL
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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