Individual
AIMEE KIOKO LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 REW CIR, OCOEE, FL 34761-4215
(407) 338-3161
Mailing address
1919 SUNBOW AVE, APOPKA, FL 32703-8490
(808) 321-9676
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33721
FL
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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