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1215628557
HEATHER LAWRENCE
MEXICO, NY
NPI
1215628557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 004757-1)
Enumeration Date
2023-05-17
Last Update Date
2023-05-17
Business Address
HEATHER LAWRENCE PTA
216 COUNTY ROUTE 64
MEXICO, NY 13114-3229
Phone number: 315-963-0864
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Mailing Address
HEATHER LAWRENCE PTA
PO BOX 519
WATERTOWN, NY 13601-0519
Phone number: 315-782-3941
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