| Doctor Name: | MR. LAWRENCE ALLEN FOSSITT |
| NPI Number: | 1346310026 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.P.T., C.F.M.T. |
| License Number: | PT19048 |
| Business Practice Address: | 2015 S Maple Ave Sanford, FL - 327713361 |
| Business Phone Number: | 4073285420 |
| Business Fax Number: | 4073285430 |
| Mailing Address: | 289 Brassington Drive, DEBARY |
| State: | FL |
| Postal Code: | 32713 |
| Phone Number: | 4077928590 |
| Fax Number: | 4073285430 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT19048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |