Individual
D.E. LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
501 VOLUSIA AVE, DAYTON, OH 45409-2347
(937) 470-4264
Mailing address
501 VOLUSIA AVE, DAYTON, OH 45409-2347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8286
OH
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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