Individual
MISS KIMBERLY SUE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3452
(325) 793-3549
Mailing address
4601 HARTFORD ST, ABILENE, TX 79605-4603
(325) 793-3400
(325) 793-3587
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105517
TX
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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