Individual
TANI JO LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1307 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5253
(641) 484-5312
Mailing address
1205 S 3RD ST, MARSHALLTOWN, IA 50158-3936
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02803
IA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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