Individual
JENNIFER L LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
(802) 447-1686
Mailing address
332 DEWEY ST, BENNINGTON, VT 05201-2225
(802) 442-6314
(802) 447-1686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072-0000079
VT
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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