Individual
MS. AISHA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 AUSTIN CIR, SOUTH WINDSOR, CT 06074-6907
(860) 656-8844
Mailing address
15 AUSTIN CIR, SOUTH WINDSOR, CT 06074-6907
(860) 656-8844
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001644
CT
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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