Individual
KELLY RENEE LAWVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9211 W BROWARD BLVD, PLANTATION, FL 33324-2401
(877) 231-6285
Mailing address
3000 NE 16TH AVE APT D203, OAKLAND PARK, FL 33334-5214
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14568
FL
Other
Enumeration date
06/05/2018
Last updated
06/16/2018
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