Elizabeth Edmonds, OTR/L | |
425 Wadsworth Ave, Philadelphia, PA 19119-1130 | |
(215) 316-9044 | |
Not Available |
Full Name | Elizabeth Edmonds |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 425 Wadsworth Ave, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366806614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OC012622 (Pennsylvania) | Primary |
Provider Name | Fox Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326092503 PECOS PAC ID: 0143133009 Enrollment ID: O20040220000258 |
Mailing Address | Practice Location Address |
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Elizabeth Edmonds, OTR/L 425 Wadsworth Ave, Philadelphia, PA 19119-1130 Ph: () - | Elizabeth Edmonds, OTR/L 425 Wadsworth Ave, Philadelphia, PA 19119-1130 Ph: (215) 316-9044 |
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