Individual
KAYLEIGH LYNN LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 273-3000
Mailing address
1784 MCKNIGHT RD N, MAPLEWOOD, MN 55109-4850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105788
MN
225XP0200X
Pediatric Occupational Therapist
105788
MN
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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