Individual
DR. BRET D LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3210 JENKS AVE, PANAMA CITY, FL 32405-4224
(850) 763-0603
Mailing address
3210 JENKS AVE, PANAMA CITY, FL 32405-4224
(850) 763-0603
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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