Individual
MR. JASON J LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
465 WOLCOTT RD, WOLCOTT, CT 06716-2613
(203) 232-3225
(203) 879-0206
Mailing address
465 WOLCOTT RD, WOLCOTT, CT 06716-2613
(203) 879-0107
(203) 879-0206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12413
CT
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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