Individual
TESSA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OT
Contact information
Practice address
6330 E 75TH ST STE 206, INDIANAPOLIS, IN 46250-2700
(317) 284-1166
Mailing address
6896 CHERRY LAUREL LN, FISHERS, IN 46038-2429
(317) 360-2266
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31007195A
IN
Other
Enumeration date
07/13/2020
Last updated
07/23/2020
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