Individual
PHYLLIS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3809 BAYSHORE RD, NORTH CAPE MAY, NJ 08204-3259
(609) 898-5323
Mailing address
535 OLD AVALON BLVD, AVALON, NJ 08202-1808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09011100
NJ
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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