Individual
KATIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7440
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7440
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO006085
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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