Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1346605664 |
---|---|
Provider Name | Demetra Edwards |
First Address | Milford, MA 01757-1319 |
Second Address | Milford, MA 01757-1319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2015 |
Last Update Date | 31/12/2015 |