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Individual

MR. THOMAS H LAWRENCE IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
1076 CHAMBLISS RD, MEMPHIS, TN 38116-6381
(901) 348-2273
Mailing address
1076 CHAMBLISS RD, MEMPHIS, TN 38116-6381
(901) 348-2273

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OT0000003111
TN

Other

Enumeration date
08/04/2008
Last updated
11/16/2023
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