Individual
KENNETH EUGENE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1020 STONEBRIDGE CIR, WATKINSVILLE, GA 30677-2077
(706) 614-8535
Mailing address
1020 STONEBRIDGE CIR, WATKINSVILLE, GA 30677-2077
(706) 614-8535
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002775
GA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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