Individual
MRS. ELLEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5850 OHIO DR, FRISCO, TX 75035-7096
(972) 668-5257
(972) 668-5258
Mailing address
3917 CREEK CROSSING DR, PLANO, TX 75093-7234
(214) 682-1802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204735
COTA
TX
Enumeration date
08/04/2008
Last updated
08/04/2008
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