Individual
MR. HUNTER ROBERT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOTR
Contact information
Practice address
1311 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-1705
(502) 416-4629
Mailing address
1311 E BRECKINRIDGE ST, LOUISVILLE, KY 40204-1705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10314
NC
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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