Individual
HEATHER LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
(315) 963-7693
Mailing address
PO BOX 519, WATERTOWN, NY 13601-0519
(315) 782-3941
(315) 782-8967
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004757-1
NY
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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