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Individual

MISS AMBER MARIE EDMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
KT, RYT

Contact information

Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
2205 MYRTA DR, WOOSTER, OH 44691-9648
(330) 749-9615

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1866
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1866
COUNCIL ON PROFESSIONAL STANDARDS FOR KINESIOTHERAPY
OH
01
236845
YOGA ALLIANCE
OH
Enumeration date
05/01/2018
Last updated
05/01/2018
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