Individual
DONNY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
242558
KY
224Z00000X
Occupational Therapy Assistant
Primary
OT-2023-0167
NM
Other
Enumeration date
07/22/2022
Last updated
10/17/2023
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