Andrew C Lawrence, PTA
Physical Therapy Assistant in Hazlehurst, GA. Individual provider (NPI-1).
NPI number1760675805
StatusActive
Last updated in NPPESOct 26, 2015
Details
- NPI
- 1760675805
- Entity type
- Individual (NPI-1)
- Name
- Andrew C Lawrence
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2007
- Last updated
- Oct 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA001434 | GA | Yes |
Other names
- Andrew C Lawrence (Professional Name)
Practice location
124 E Jarman St Ste BHazlehurst, GA 31539-6133
Phone 912-375-2009 · Fax 912-379-0081
Mailing address
Po Box 1005Hazlehurst, GA 31539-1005
Phone 912-375-2009 · Fax 912-379-0081
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