Edens, Lucy

Edens, Lucy is an individual health care provider with primary practice located at 742 Sterbenz Dr , Hudson WI 54016-8327. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Edens, Lucy can be contacted via phone (715) 386-2128.

Contact Information

Primary practice address
742 Sterbenz Dr Hudson WI 54016-8327
Phone: (715) 386-2128
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT023024 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10208 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 13325 Wisconsin

Profile Details

NPI number 1679906085
LBN Legal business name Edens, Lucy
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2013
Last updated Sep 25th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679906085 NPPES
Pennsylvania MEDICAID 098237

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