Cori Lynn Edmondson, OTR/L
Individual provider Active NPI Gerontology Occupational Therapist · Temperance, MI
NPI 1477072486 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1477072486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Occupational Therapist 225XG0600X
- Practice address
- 7262 Apple Grove LN
Temperance, MI 48182-1568 - Phone
- (419) 346-6980
- NPI assigned
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | Yes |
Addresses
Primary practice location
7262 Apple Grove LN
Temperance, MI 48182-1568
Mailing address
7262 Apple Grove LN
Temperance, MI 48182-1568
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT.009133 | Other | OH | OCCUPATIONAL THERAPY LICENSE |
Other providers in Temperance, MI
- Dr. Joseph a. Lascala & Associates P.C.
- Melodie J Dregansky
- Brenda Jurgenson Duggan
- Mary Ann Durbin
- Kerri Easton
- Chelsea Engler
- Rechawn A Fair
- Family Medical Center of Michigan, Inc
- Family Medical Center of Michigan, Inc
- Family Medical Center of Michigan,Inc
All providers in Temperance, MI · Gerontology Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.