MEDICARE: ROSE MARIE LAWRENCE PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT03915	RI

General Provider Information

NPI Number	:	1598588485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSE MARIE LAWRENCE PT, DPT

Provider Business Mailing Address
First Line	:	17 BRADLEY ST
Second Line	:
City	:	RUMFORD
State	:	RI
Zip	:	02916-2706
Country	:	US
Telephone Number	:	401-280-3235
Fax Number	:

Provider Business Practice Location Address
First Line	:	990 FULTON STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238
Country	:	US
Telephone Number	:	646-337-2760
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2024
Last Update Date	:	03/11/2026

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