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MR. ROBERT ALLEN LAWRENCE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
3114 GREEN RIVER DR, APT. 1205, EVANSVILLE, IN 47715-8046
(812) 686-1607
Mailing address
3114 GREEN RIVER DR, APT. 1205, EVANSVILLE, IN 47715-8046
(812) 686-1607

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001861A
IN

Other

Enumeration date
07/20/2010
Last updated
07/20/2010
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