NPI 1033847025

Jennifer Lyn Edmonds, PTA

Practitioner Physical Therapy Assistant Portland, OR

Practice location

Address: 812 SE 48th Ave, Portland, OR 97215-1724
Phone: (503) 236-2624
Mailing address: 7318 N Syracuse St, Portland, OR 97203-5068

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 08638 (OR)

Other Physical Therapy Assistant providers in Oregon →

Registry record

NPI: 1033847025
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Aug 2022
Record last updated: 9 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.