Tracey L. Lane

NPI #1063543130 in Bridgeport, Connecticut

Provider Information

NPI Number: 1063543130
Entity Type: Individual
Name: Tracey L. Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 267 GRANT ST
City: Bridgeport
State: Connecticut
ZIP Code: 06610-2805
Phone: (203) 384-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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