Individual
REBECCA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9891 BROKEN LAND PKWY STE 306, COLUMBIA, MD 21046-3004
(301) 362-0114
Mailing address
9891 BROKEN LAND PKWY STE 306, COLUMBIA, MD 21046-3004
(301) 362-0114
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01414
MD
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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