Individual
MR. BRIAN P EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
910 WAINEE ST, LAHAINA, HI 96761-1622
(808) 432-5842
Mailing address
1468 WESTFIELD AVE, RENO, NV 89509-1814
(702) 419-5666
(775) 324-2029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1437
NV
225100000X
Physical Therapist
2847
HI
Other
Enumeration date
10/07/2008
Last updated
10/07/2008
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