Individual
MS. CONNIE S LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
255 HEDGES ST, MANSFIELD, OH 44902-8611
(419) 774-4235
Mailing address
946 COUNTY ROAD 30A, ASHLAND, OH 44805-9231
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-03869
OH
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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