Michael Lane, DPT

NPI #1992259949 in Washington, Illinois

Provider Information

NPI Number: 1992259949
Entity Type: Individual
Name: Michael Lane, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Aug 8, 2016
Last Updated: Aug 8, 2016

Practice Location

Address: 1201 N CUMMINGS LN
City: Washington
State: Illinois
ZIP Code: 61571-9267
Phone: (309) 886-2305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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