| Doctor Name: | MR. EDMOND FRANCIS CARDINAL |
| NPI Number: | 1013049717 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT01926 |
| Business Practice Address: | 11 Main St Mystic, CT - 063553641 |
| Business Phone Number: | 8603344229 |
| Business Fax Number: | |
| Mailing Address: | 11 Main St, MYSTIC |
| State: | CT |
| Postal Code: | 063553641 |
| Phone Number: | 8603344229 |
| Fax Number: | |
| NPI Enumeration Date: | 03/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT01926 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | RI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |