Khadijah Nicole Edwards, COTA
NPI #1033606371 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1033606371
- Entity Type
- Individual
- Name
- Khadijah Nicole Edwards, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Apr 20, 2018
- Last Updated
- Apr 20, 2018
Practice Location
- Address
- 631 E MELROSE CIR
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33312-1951
- Phone
- (954) 599-8961
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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