Individual
MS. BABETTE L LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005219A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3100521A
INDIANA OCCUPATIONAL THERAPY LICENSE
IN
Enumeration date
01/10/2012
Last updated
01/10/2012
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