Nicole Lane, MSOTR/L

NPI #1497318844 in Palmetto, Florida

Provider Information

NPI Number
1497318844
Entity Type
Individual
Name
Nicole Lane, MSOTR/L
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
MSOTR/L
Enumeration Date
Apr 20, 2019
Last Updated
Apr 20, 2019

Practice Location

Address
6225 KEVESTA AVE
State
Florida
ZIP Code
34221-2577
Phone
(570) 617-5915

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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