Jaclyn Lane

NPI #1063797926 in Watertown, New York

Provider Information

NPI Number
1063797926
Entity Type
Individual
Name
Jaclyn Lane
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist
Enumeration Date
Oct 11, 2011
Last Updated
Oct 11, 2011

Practice Location

Address
20104 NYS RT 3
ZIP Code
13601-5560
Phone
(315) 779-7100

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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