Edwards, Deidra Marie

Edwards, Deidra Marie is an sole proprietor health care provider with primary practice located at 7075 Pulaski Ave , Fort Leonard Wood MO 65473-1041. She recently has 2 registered licenses in different health care specialties including Hospitals / Rural, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Edwards, Deidra Marie can be contacted via phone (573) 842-2650.

Contact Information

Primary practice address
7075 Pulaski Ave Fort Leonard Wood MO 65473-1041
Phone: (573) 842-2650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Rural 282NR1301X 2005020197 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2005020197 Missouri

Profile Details

NPI number 1386846772
LBN Legal business name Edwards, Deidra Marie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2007
Last updated May 26th, 2016 - about 8 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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