Provider Demographics
NPI:1578180832
Name:LAWTON, DONNA DEMETIUS (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:DEMETIUS
Last Name:LAWTON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 50TH STREET CIR E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-2105
Mailing Address - Country:US
Mailing Address - Phone:941-479-7323
Mailing Address - Fax:
Practice Address - Street 1:2207 50TH STREET CIR E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-2105
Practice Address - Country:US
Practice Address - Phone:941-479-7323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11918224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant