Individual
MRS. CYNTHIA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1109 MEADE AVE, PROSSER, WA 99350-1366
(509) 786-1820
(509) 786-9672
Mailing address
1126 MEADE AVE, PROSSER, WA 99350-1367
(509) 786-3323
(509) 786-2062
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00000533
WA
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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