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Fairy Edades, P.T.A
NPI 1679690564 · on the registry since 2007
Practice
- Address
- 10400 Arrow Rte Apt V5
Rancho Cucamonga, CA 91730 - Phone
- (909) 948-0879
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California