Individual
JACOB LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
341 10TH AVE STE 101, ROYERSFORD, PA 19468-3807
(610) 792-8100
(610) 792-1535
Mailing address
475 ALLENDALE RD STE 206, KING OF PRUSSIA, PA 19406-1495
(610) 270-0370
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT028216
PA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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