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KIMBERLY WATERS EDISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1140 W MAIN ST, ATTN: REHABCARE, CHRISTIANSBURG, VA 24073-4222
(540) 381-1742
(540) 381-1742
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119006605
VA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119006605
VA

Other

Enumeration date
07/09/2015
Last updated
06/08/2020
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