Dean M Edwards Dpt INC
Physical Therapist in Lake Mary, FL. Organization (NPI-2).
NPI number1154722650
StatusActive
Last updated in NPPESSep 16, 2014
Details
- NPI
- 1154722650
- Entity type
- Organization (NPI-2)
- Legal business name
- Dean M Edwards Dpt INC
- Organization subpart
- No
- Enumeration date
- Sep 16, 2014
- Last updated
- Sep 16, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
782 Silver Cloud Cir# 204
Lake Mary, FL 32746-1535
Phone 914-320-3233
Mailing address
2350 Nautical WayApt 114
Winter Park, FL 32792-1257
Phone 914-320-3233
Authorized official
Dean Mark Anthony Edwards
Ceo
9143203233
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