Edwards, Jodi Eileen

Edwards, Jodi Eileen is an individual health care provider with primary practice located at 1190 E Missouri Ave Ste 100 , Phoenix AZ 85014-2719. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation, which is considered as her primary health care specialty. Edwards, Jodi Eileen can be contacted via phone (602) 393-0520.

Contact Information

Primary practice address
1190 E Missouri Ave Ste 100 Phoenix AZ 85014-2719
Phone: (602) 393-0520
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurorehabilitation 225XN1300X 353569 Arizona

Profile Details

NPI number 1699308270
LBN Legal business name Edwards, Jodi Eileen
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2020
Last updated Feb 21st, 2020 - about 5 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 1699308270 NPPES
Arizona Other 353569 NATIONAL BOARD OF OCCUPATIONAL THERAPY

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