Gene L Edwards

NPI 1316175631 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1316175631
Gender Male
Enumeration Date 06/25/2009
Last Updated 06/25/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
410 E 12TH ST
ALTON IL, 62002-7229, US
Phone (618) 980-9151
Fax
Business Location
410 E 12TH ST
ALTON IL, 62002-7229, US
Phone (618) 980-9151
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Illinois
License Number 057003065
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According to our database, Gene L Edwards NPI is 1316175631, taxonomy code is 224Z00000X and license number is 057003065, license state is located at Illinois. Gene L Edwards physically located at 410 E 12th St, Alton IL, 62002-7229. NPI Number Gene L Edwards has the Individual type.

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1316175631 NPI number is provided on an as is basis without warranty of any kind. 1316175631 is maintained by the National Plan & Provider Enumeration System. The contents of Gene L Edwards are for informational purposes only.