Individual
MR. CHAD RUDOLPH LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
884 WOODS MILL RD STE 200, BALLWIN, MO 63011-3657
(636) 238-4910
Mailing address
884 WOODS MILL RD STE 200, BALLWIN, MO 63011-3657
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
20230044459
MO
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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