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Individual

AMANDA LANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2 COMMERCIAL DR, LAKEVILLE, MA 02347-3640
(774) 260-1242
Mailing address
2 COMMERCIAL DR, LAKEVILLE, MA 02347-3640
(774) 260-1242

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3848
MA

Other

Enumeration date
03/18/2015
Last updated
03/18/2015
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