Marie Lane, TRT
NPI #1912761271 in West Valley City, Utah
Provider Information
- NPI Number
- 1912761271
- Entity Type
- Individual
- Name
- Marie Lane, TRT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Recreational Therapist Assistant
- Credential
- TRT
- Enumeration Date
- Feb 7, 2024
- Last Updated
- Feb 7, 2024
Practice Location
- Address
- 4090 W PIONEER PKWY
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-2060
- Phone
- (801) 397-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Recreational Therapist Assistant |
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