Individual
ELIZABETH LAWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11804 OLD COURSE RD, CANTONMENT, FL 32533-4881
(815) 451-1392
Mailing address
11804 OLD COURSE RD, CANTONMENT, FL 32533-4881
(815) 451-1392
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15150
FL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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