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Individual

JESSICA LAWRENCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
13710 SE 44TH AVE, SUMMERFIELD, FL 34491-2314
(352) 342-4392
Mailing address
13710 SE 44TH AVE, SUMMERFIELD, FL 34491

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT15767
FL

Other

Enumeration date
11/13/2013
Last updated
11/13/2013
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