Provider Demographics
NPI:1205465093
Name:LAWRENCE, TONI-ANN (ATC)
Entity type:Individual
Prefix:
First Name:TONI-ANN
Middle Name:
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 QUEENS AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-4302
Mailing Address - Country:US
Mailing Address - Phone:484-707-3305
Mailing Address - Fax:
Practice Address - Street 1:180 REMSEN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4305
Practice Address - Country:US
Practice Address - Phone:347-496-9561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-03
Last Update Date:2020-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer