Individual
DAVID LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2944 CHASE WAY, MARIANNA, FL 32446-6458
(850) 933-1378
(850) 482-5879
Mailing address
2944 CHASE WAY, MARIANNA, FL 32446-6458
(850) 933-1378
(850) 482-5879
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214206
TX
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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