Irene Edwards
Physical Therapy Assistant in Greenvale, NY. Individual provider (NPI-1).
NPI number1932731908
StatusActive
Last updated in NPPESFeb 7, 2020
Details
- NPI
- 1932731908
- Entity type
- Individual (NPI-1)
- Name
- Irene Edwards
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2020
- Certification date
- Feb 7, 2020
- Last updated
- Feb 7, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | – | – | Yes |
Practice location
90 Northern BlvdGreenvale, NY 11548-1213
Phone 516-626-5080
Mailing address
576 Broadhollow RdMelville, NY 11747-5002
Phone 631-359-5859
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