Individual
AMANDA MAY LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
26 HARVARD STREET, WORCESTER, MA 01609
(508) 754-8877
Mailing address
694 ROUTE 29, ROCK CITY FALLS, NY 12863-1200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28033
MA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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