Provider Demographics
NPI:1679006647
Name:LAWLER, NANCY (DPT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:LAWLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 FIRST ST
Mailing Address - Street 2:
Mailing Address - City:FOLKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:31537-4643
Mailing Address - Country:US
Mailing Address - Phone:912-496-7842
Mailing Address - Fax:912-496-4617
Practice Address - Street 1:215 FIRST ST
Practice Address - Street 2:
Practice Address - City:FOLKSTON
Practice Address - State:GA
Practice Address - Zip Code:31537-4643
Practice Address - Country:US
Practice Address - Phone:912-496-7842
Practice Address - Fax:912-496-4617
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT012809225100000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPT012809OtherPT LICENSE