Individual
LAWRENCE STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1121 TASKER ST, APT 2, PHILADELPHIA, PA 19148-1127
(267) 872-0322
Mailing address
1121 TASKER ST, APT 2, PHILADELPHIA, PA 19148-1127
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OC011244
PA
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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