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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB STEPHEN LAWRENCE, COTA

Active Sole Proprietor

JACOB STEPHEN LAWRENCE, COTA is a Occupational Therapy Assistant healthcare provider located in PHOENIX, Arizona. NPI 1043749302 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PHOENIX, AZ

Registration Details

NPI Number
1043749302
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2017 (9.2258399858396 yrs)
Last Updated
Jul 21, 2022
License
6921 (AZ)
Sole Proprietor
Yes

Practice Information

Address
3116 W. HARTFORD DR.
PHOENIX, AZ, 85053
Browse AZ providers · Browse ZIP 85053
Phone
4805448751
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PHOENIX, AZ

Name Credential NPI
JULIE K NELSON COTA 1487633681
WENDY D STUART COTA 1558341321
JOHN D SISK COTA 1912978925
DOLORES A KEECH COTA 1831154830
RACHAEL E MIKLOS COTA 1255383196
MRS. LEANN GAYLE KOZELISKI COTA/L 1942386487
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.