Edwards, Anita Joy

Edwards, Anita Joy is an individual health care provider with primary practice located at 1059 Wealthy St Se Unit 301 , Grand Rapids MI 49506-1690. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification, Other Service Providers / Prevention Professional. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification is her primary health care specialty. Edwards, Anita Joy can be contacted via phone (616) 777-7631.

Contact Information

Primary practice address
1059 Wealthy St Se Unit 301 Grand Rapids MI 49506-1690
Phone: (616) 777-7631
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification 224ZE0001X
Other Service Providers / Prevention Professional 405300000X 5202003641 Michigan

Profile Details

NPI number 1407507353
LBN Legal business name Edwards, Anita Joy
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2022
Last updated Jan 12th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407507353 NPPES
Other 1009423 CERTIFIED OCCUPATIONAL THERAPY ASSISTANT
Other 1210601573 CERTIFIED OCCUPATIONAL THERAPY ASSISTANT
Other 5202003641 CERTIFIED OCCUPATIONAL THERAPY ASSISTANT

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