Edwards, Stacia Lynn

Edwards, Stacia Lynn is an individual health care provider with primary practice located at 11665 Avena Pl Suite 106, San Diego CA 92128-2421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Edwards, Stacia Lynn can be contacted via phone (858) 673-5437.

Contact Information

Primary practice address
11665 Avena Pl Suite 106 San Diego CA 92128-2421
Phone: (858) 673-5437
Fax: (858) 673-5434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT 7498 California

Profile Details

NPI number 1528029832
LBN Legal business name Edwards, Stacia Lynn
Credentials BS, MOT, OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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