Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Stephen Lawrence, COTA

Individual provider Occupational Therapy Assistant · NPI 1043749302

Jacob Stephen Lawrence, COTA is an Occupational Therapy Assistant in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3116 W Hartford Dr
Phoenix, AZ 85053
Phone: (480) 544-8751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 6921 (AZ)

Record details

NPI number1043749302
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedJune 8, 2017
Last updated in NPPESJuly 21, 2022
Mailing address3116 W Hartford Dr, Phoenix, AZ 85053-1820

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