Individual
HEATHER MICHELLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
604 STOKES ST E, AHOSKIE, NC 27910-4159
(252) 332-2126
Mailing address
3111 BEAR GRASS RD, WILLIAMSTON, NC 27892-8279
(252) 661-5291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3675
NC
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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