Jennifer Edwards
Occupational Therapist in Waterbury, CT. Individual provider (NPI-1).
NPI number1043852007
StatusActive
Last updated in NPPESOct 11, 2019
Details
- NPI
- 1043852007
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Edwards
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2019
- Last updated
- Oct 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 5297 | CT | Yes |
Practice location
22 Tompkins StWaterbury, CT 06708-1458
Phone 203-598-0600 · Fax 203-598-3300
Mailing address
22 Tompkins StWaterbury, CT 06708-1458
Phone 203-598-0600 · Fax 203-598-3300
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