Provider Demographics
NPI:1538498688
Name:LAWRENCE, TAMI (MS,OTR/L)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MAIN ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-6602
Mailing Address - Country:US
Mailing Address - Phone:843-342-9000
Mailing Address - Fax:843-342-9044
Practice Address - Street 1:60 MAIN ST
Practice Address - Street 2:SUITE H
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-342-9000
Practice Address - Fax:843-342-9044
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3000225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics