Individual
RACHEL VALERIE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
100 LINDSEY LN, SUITE B, KINGSLAND, GA 31548-6850
(912) 510-6104
(912) 882-6137
Mailing address
PO BOX 5610, SAINT MARYS, GA 31558-5610
(912) 510-6104
(912) 882-6137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT001728
GA
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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