Cori Lynn Edmondson
Occupational Therapist - Gerontology
7262 Apple Grove Ln
Temperance
, Michigan 48182-1568
Cori Lynn Edmondson
Occupational Therapist - Gerontology
7262 Apple Grove Ln
Temperance
, Michigan 48182-1568
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Cori Lynn Edmondson
- 7262 Apple Grove Ln
- Temperance, MI
- Zip : 48182-1568
- Phone :
Second Address
- Cori Lynn Edmondson
- 7262 Apple Grove Ln
- Temperance, MI
- Zip : 48182-1568
- Phone : (419) 346-6980
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1477072486 |
|---|---|
| Provider Name | Cori Lynn Edmondson |
| First Address | Temperance, MI 48182-1568 |
| Second Address | Temperance, MI 48182-1568 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/09/2017 |
| Last Update Date | 16/06/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| OT.009133 | OCCUPATIONAL THERAPY LICENSE (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.