MEDICARE: MS. PAMELA ANITA LAWTON MA, OT, CHT

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	225XH1200X	Hand Occupational Therapist	2674	NY

General Provider Information

NPI Number	:	1104908169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAMELA ANITA LAWTON MA, OT, CHT

Provider Business Mailing Address
First Line	:	50 COURT ST STE 1208
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4867
Country	:	US
Telephone Number	:	718-875-4030
Fax Number	:	718-875-6312

Provider Business Practice Location Address
First Line	:	50 COURT ST STE 1208
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11201-4867
Country	:	US
Telephone Number	:	718-875-4030
Fax Number	:	718-875-6312

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/08/2007

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