Individual
KENNETH ANDREW LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 INDEPENDENCE WAY STE 170, CLYDE, OH 43410-9811
(567) 855-2807
Mailing address
112 INDEPENDENCE WAY STE 170, CLYDE, OH 43410-9811
(567) 855-2807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA008940
OH
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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