Individual
AMANDA J LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7917 ULSTER DR, NORTH RICHLAND HILLS, TX 76180-5519
(817) 281-9877
Mailing address
7917 ULSTER DR, NORTH RICHLAND HILLS, TX 76180-5519
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2051523
TX
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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