Individual
MRS. MARLIS J LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR CDRS
Contact information
Practice address
1045 ROBERTSON ST, FORT COLLINS, CO 80524-3926
(970) 493-6667
(970) 493-8016
Mailing address
1814 W VINE DR, FORT COLLINS, CO 80521-1621
(970) 482-8923
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA635391
CO
225XR0403X
Driving and Community Mobility Occupational Therapist
AA635391
CO
Other
Enumeration date
04/05/2006
Last updated
02/17/2016
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