Individual
MISS JEANNA MARIE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2990 CARLISLE PIKE, NEW OXFORD, PA 17350-9582
(717) 624-2161
Mailing address
442 MOUNT MISERY RD, NEW OXFORD, PA 17350-9587
17179659292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008766
PA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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