Individual
MISS MARY JO LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2806 HENRY GOWER RD, PLEASANT VIEW, TN 37146-9068
(615) 218-9058
Mailing address
4245 JAMES STONE RD, CEDAR HILL, TN 37032-5160
(615) 218-9058
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3564
TN
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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