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Individual

MRS. AMY PHILLIPS LAWRENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 870-9322
Mailing address
95 MCDOWELL DR, WAKE FOREST, NC 27587-2561
(919) 544-9955

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5295
NC

Other

Enumeration date
03/24/2008
Last updated
03/24/2008
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