Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | 2306000400 | VA |
NPI | 1003057753 |
---|---|
Provider Name | Mrs. Jeanne Hall Lawson |
First Address | Martinsville, VA 24112-1905 |
Second Address | Martinsville, VA 24112-1905 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2009 |
Last Update Date | 10/03/2009 |