Jerry Lynn Edwards PTA

NPI 1043554520 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1043554520
Gender Male
Enumeration Date 11/21/2012
Last Updated 11/21/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
45390 GREEN AVE
CALLAHAN FL, 32011-3711, US
Phone (904) 879-1223
Fax (904) 277-4177
Business Location
45390 GREEN AVE
CALLAHAN FL, 32011-3711, US
Phone (904) 879-1223
Fax (904) 277-4177
Toxanomy
Taxonomy Code 225200000X
License State Florida
License Number PTA23801
Remove 1043554520 NPI Number
 

According to our database, Mr. Jerry Lynn Edwards PTA NPI is 1043554520, taxonomy code is 225200000X and license number is PTA23801, license state is located at Florida. Jerry Lynn Edwards PTA physically located at 45390 Green Ave, Callahan FL, 32011-3711. NPI Number Jerry Lynn Edwards PTA has the Individual type.

Sponsored links

1043554520 NPI number is provided on an as is basis without warranty of any kind. 1043554520 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Lynn Edwards PTA are for informational purposes only.