Individual
DR. BRET D LANE
Active
Individual
DR. BRET D LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT004139
WV
225100000X
Physical Therapist
Primary
PT37197
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT004139
WV BOARD OF PHYSICAL THERAPY
WV
01
—
PT37197
FLORIDA BOARD OF PHYSICAL THERAPY
FL
Enumeration date
06/19/2019
Last updated
03/23/2023
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