Individual
TAMMY ANNETTE LANE
Active
Individual
TAMMY ANNETTE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
983
MT
225X00000X
Occupational Therapist
KY-R2537
KY
225X00000X
Occupational Therapist
OC009807
PA
225X00000X
Occupational Therapist
Primary
OTR-710
WY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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