Individual
PHYLLIS ELLEN NACHMAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1914 TICE VALLEY BLVD, WALNUT CREEK, CA 94595-2203
(925) 988-7595
(925) 930-0774
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT12119
CA
Other
Enumeration date
06/26/2020
Last updated
11/04/2020
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