Individual
MRS. NICOLE EDENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
2115 FORSYTHE AVE, MONROE, LA 71201-3642
(318) 388-1303
(318) 388-1707
Mailing address
2115 FORSYTHE AVE, MONROE, LA 71201-3642
(318) 388-1303
(318) 388-1707
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
04142
LA
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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