Individual
JESSICA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
309 3RD ST, EAST MC KEESPORT, PA 15035-1332
(412) 607-1148
Mailing address
309 3RD ST, EAST MC KEESPORT, PA 15035-1332
(412) 607-1148
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007759
PA
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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