Individual
MR. MICHAEL CARRINGTON LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
550 WHITE PLAINS RD, EASTCHESTER, NY 10709-5506
(914) 793-6130
Mailing address
79 WESTCHESTER SQ APT 2F, BRONX, NY 10461-3546
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009251-1
NY
Other
Enumeration date
09/02/2017
Last updated
09/02/2017
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