Individual
DEANNE MICHELLE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOT
Contact information
Practice address
8050 COUNTY ROAD 564, BROWNWOOD, TX 76801-0885
(325) 998-1403
Mailing address
8050 COUNTY ROAD 564, BROWNWOOD, TX 76801-0885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109594
TX
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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