Provider Demographics
NPI:1386116242
Name:EDWARDS, CATHERINE BRIDGERS (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:BRIDGERS
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 PINEY GROVE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:KENLY
Mailing Address - State:NC
Mailing Address - Zip Code:27542-8377
Mailing Address - Country:US
Mailing Address - Phone:252-269-3780
Mailing Address - Fax:
Practice Address - Street 1:1211 PINEY GROVE CHURCH RD
Practice Address - Street 2:
Practice Address - City:KENLY
Practice Address - State:NC
Practice Address - Zip Code:27542-8377
Practice Address - Country:US
Practice Address - Phone:252-269-3780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00917225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation