Individual
TAYLOR LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
335 UPPER RIVERDALE RD STE B10, JONESBORO, GA 30236-1071
(912) 667-6045
Mailing address
378 5TH ST NE APT 2, ATLANTA, GA 30308-3734
(912) 667-6045
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT008712
GA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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