Individual
MS. COLLEEN MARY-GLYNISS LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
462 1ST AVE # A-560, NEW YORK, NY 10016-9196
(212) 562-2300
(212) 562-3486
Mailing address
2001 ROUTE 17M, GOSHEN, NY 10924-5241
(845) 458-8661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012990
NY
Other
Enumeration date
12/06/2006
Last updated
02/26/2024
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