Individual
KATHERINE J LAWLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
378 BUSH HILL CT, LAKE MARY, FL 32746-3991
(407) 227-4898
Mailing address
378 BUSH HILL CT, LAKE MARY, FL 32746-3991
(407) 227-4898
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17392
FL
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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