| NPI | 1801028923 |
|---|---|
| Former Name | LEANN M EDWARDS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IN 05009908A) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: KY 005515) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2024-01-11 |