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Individual

MRS. CATHERINE AMY LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., P.T.

Contact information

Practice address
16254 COMANCHE AVE, GREENWELL SPRINGS, LA 70739-6205
(225) 306-5195
Mailing address
16254 COMANCHE AVE, GREENWELL SPRINGS, LA 70739-6205
(225) 306-5195

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07775R
LA

Other

Enumeration date
09/14/2017
Last updated
10/17/2017
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