Individual
MR. JEREMY LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3823 FERNRIDGE DR, LONGVIEW, TX 75605-2517
(903) 297-5508
Mailing address
3823 FERNRIDGE DR, LONGVIEW, TX 75605-2517
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2083603
TX
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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