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Brian P Edwards, PT

Physical Therapist in Lahaina, HI. Individual provider (NPI-1).

NPI number1760633853
StatusActive
Last updated in NPPESOct 7, 2008

Details

NPI
1760633853
Entity type
Individual (NPI-1)
Name
Mr. Brian P Edwards
Credential
PT
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 7, 2008
Last updated
Oct 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist1437NVYes
225100000X Physical Therapist2847HI

Practice location

910 Wainee St
Lahaina, HI 96761-1622

Phone 808-432-5842

Mailing address

1468 Westfield Ave
Reno, NV 89509-1814

Phone 702-419-5666 · Fax 775-324-2029

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