Individual
KENDRA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
212 RETREAT VLG, SAINT SIMONS ISLAND, GA 31522-2403
(912) 638-1444
(912) 638-0077
Mailing address
212 RETREAT VLG, SAINT SIMONS ISLAND, GA 31522-2403
(912) 638-1444
(912) 638-0077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003449
GA
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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