Brandice J Lane

NPI #1801363387 in Savannah, Missouri

Provider Information

NPI Number: 1801363387
Entity Type: Individual
Name: Brandice J Lane
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 1, 2018
Last Updated: Nov 1, 2018

Practice Location

Address: 18650 COUNTY ROAD 287
City: Savannah
State: Missouri
ZIP Code: 64485-2221
Phone: (816) 387-3754

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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