Helen Marie Edwards

Individual provider Active NPI Occupational Therapy Assistant · Jacksboro, TX

NPI 1487849436 · NPPES record last updated Sep 12, 2007

Key facts

NPI
1487849436
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
206083 (TX)
Practice address
211 E Jasper St
Jacksboro, TX 76458-1848
Phone
(940) 567-3924
NPI assigned
Sep 12, 2007
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

State licenses

LicenseStateTypeSpecialty
206083TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 206083 TX Yes

Addresses

Primary practice location

211 E Jasper St
Jacksboro, TX 76458-1848

Mailing address

401 E Tarrant St
Bowie, TX 76230-5112
Phone (940) 531-0036

Other providers in Jacksboro, TX

All providers in Jacksboro, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.