Individual
MRS. AMY ELLEN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
113 LAKEVIEW DR, CHARLESTON, WV 25313-1467
(304) 342-9515
Mailing address
1215 RIDGE DR, SOUTH CHARLESTON, WV 25309-2417
(304) 205-7290
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
1276
WV
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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