Individual
MRS. CARISSA BETH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,PTA
Contact information
Practice address
70 SOUTH CLEVELAND AVENUE, WESTERVILLE, OH 43081-1397
(514) 839-3280
Mailing address
638 OLDE IRISH DR, GALLOWAY, OH 43119-8320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002502
OH
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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