Individual
DEANNA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, CKPT
Contact information
Practice address
1216 5TH AVE, YOUNGSTOWN, OH 44504-1605
(330) 746-2944
(330) 746-2882
Mailing address
45555 MCHENRY ST, EAST LIVERPOOL, OH 43920-3984
(330) 532-9261
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 03040
OH
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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