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Individual

CARLY LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
224Z00000X
Occupational Therapy Assistant
Primary
009846
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009846
OCCUPATIONAL THERAPY ASSISTANT LICENSE NUMBER
NY
01
405927
NBCOT
Enumeration date
08/21/2018
Last updated
06/21/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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