Individual
NATHAN LEE LAWLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
115 RETIREMENT DR, HARDY, VA 24101-3988
(540) 719-1300
Mailing address
51 BURWELL RD, ROCKY MOUNT, VA 24151-4544
(276) 732-4686
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002249
VA
Other
Enumeration date
10/25/2023
Last updated
10/25/2023
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