Individual
DESIREE N LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/R
Contact information
Practice address
5465 ROUTE 8, GIBSONIA, PA 15044-9696
(724) 444-5333
(724) 444-5335
Mailing address
5465 ROUTE 8, GIBSONIA, PA 15044-9696
(724) 444-5333
(724) 444-5335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010531
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC010531
STATE LICENSE
PA
Enumeration date
10/03/2008
Last updated
10/03/2008
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