| NPI | 1598748733 |
|---|---|
| Former Name | DONNA JO EDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: IN 06001293A) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: KY PTA A00215) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2007-07-08 |