MR. Jeremy Lawson, PTA

NPI #1376918011 in Longview, Texas

Provider Information

NPI Number: 1376918011
Entity Type: Individual
Name: MR. Jeremy Lawson, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 7, 2015
Last Updated: Dec 7, 2015

Practice Location

Address: 3823 FERNRIDGE DR
City: Longview
State: Texas
ZIP Code: 75605-2517
Phone: (903) 297-5508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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