Individual ProviderGary W LawrencePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2039 Forest Ave, Ste 104, San Jose, CA 95128-4817(408) 279-8501(408) 733-3670PECOS EnrollmentBased on the most recent information from CMS, provider Gary W Lawrence does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1902889785Provider TypeIndividualFull NameLawrence, Gary WCredentialPTGenderMaleSole ProprietorNoEnumeration Date11/25/2005Last Updated3/21/2013Contact InformationPractice LocationPractice Address2039 Forest Ave, Ste 104, San Jose, CA 95128-4817Phone(408) 279-8501Fax(408) 279-8504Mailing LocationMailing Address246 Sobrante Way, Sunnyvale, CA 94086-4807Phone(408) 733-3670Fax(408) 245-7968Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT12300California