Doctor Name: | TONI EDWARDS |
NPI Number: | 1245459817 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501003983 |
Business Practice Address: | 944 Baldwin Rd Suite E Lapeer, MI - 484463089 |
Business Phone Number: | 8102458290 |
Business Fax Number: | 8102456929 |
Mailing Address: | 3495 S Center Rd, BURTON |
State: | MI |
Postal Code: | 485191455 |
Phone Number: | 8104242007 |
Fax Number: | 8107431099 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 11/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501003983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |