MR. Jerry Lynn Edwards, PTA

NPI #1043554520 in Callahan, Florida

Provider Information

NPI Number: 1043554520
Entity Type: Individual
Name: MR. Jerry Lynn Edwards, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Nov 21, 2012
Last Updated: Nov 21, 2012

Practice Location

Address: 45390 GREEN AVE
City: Callahan
State: Florida
ZIP Code: 32011-3711
Phone: (904) 879-1223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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