Individual
MONTANA ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E VAN TREES ST, WASHINGTON, IN 47501-2943
(812) 698-5422
Mailing address
507 E JOHN ST, WASHINGTON, IN 47501-1639
(812) 259-4709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003760A
IN
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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