Individual
MS. ELIZABETH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
615 W DOERR PATH, HERNANDO, FL 34442-6119
(352) 895-9614
Mailing address
615 W DOERR PATH, HERNANDO, FL 34442-6119
(352) 895-9614
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
015425
FL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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