Individual
MISS BRITTANI LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1420 TUSCULUM BLVD, GREENEVILLE, TN 37745-4279
(423) 787-5063
(423) 787-5017
Mailing address
427 FAIRGROUNDS RD, UNIT 1, GREENEVILLE, TN 37745-4355
(423) 787-5063
(423) 787-5017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3632
TN
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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