MRS. Patricia Lane

NPI #1144596644 in Troy, Illinois

Provider Information

NPI Number: 1144596644
Entity Type: Individual
Name: MRS. Patricia Lane
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 28, 2012
Last Updated: Apr 4, 2012

Practice Location

Address: 1204 ANTLER DR
City: Troy
State: Illinois
ZIP Code: 62294-2479
Phone: (618) 531-9574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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