| Doctor Name: | MR. TERRANCE MONTRAL EDWARDS |
| NPI Number: | 1922263805 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 27002 |
| Business Practice Address: | 301 W Fertitta Blvd Ste 4 Leesville, LA - 714464666 |
| Business Phone Number: | 3372389931 |
| Business Fax Number: | 3372390066 |
| Mailing Address: | 301 W Fertitta Blvd, Ste 4 LEESVILLE |
| State: | LA |
| Postal Code: | 714464666 |
| Phone Number: | 3372389931 |
| Fax Number: | 3372390066 |
| NPI Enumeration Date: | 07/21/2008 |
| NPI Last Update Date: | 12/09/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 27002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| 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 |