Edwards, Charles Thomas

Edwards, Charles Thomas is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 218, Peoria IL 61614-5098. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Edwards, Charles Thomas can be contacted via phone (309) 693-2244.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 218 Peoria IL 61614-5098
Phone: (309) 693-2244
Fax: (309) 693-7606
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1659471613
LBN Legal business name Edwards, Charles Thomas
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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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