Holly JW Lawson, OTR/L
Individual provider Active NPI Occupational Therapist · Speedwell, VA
NPI 1063979920 · NPPES record last updated Feb 27, 2019
Key facts
- NPI
- 1063979920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 0119003343 (VA)
- Practice address
- 6457 Grayson Tpke
Speedwell, VA 24374-3070 - Phone
- (276) 621-9929
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119003343 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119003343 | VA | Yes |
Addresses
Primary practice location
6457 Grayson Tpke
Speedwell, VA 24374-3070
Mailing address
6457 Grayson Tpke
Speedwell, VA 24374-3070
Other providers in Speedwell, VA
All providers in Speedwell, VA · Occupational Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.