Individual
MATTIE L LAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 BLAIR PIKE, PERU, IN 46970-1507
(765) 473-4426
Mailing address
2270 W THIRD ST, MEXICO, IN 46958-2041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004796A
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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