Individual
PATRICIA J LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
721 CENTRAL AVE STE 210, GREAT FALLS, MT 59401-3770
(406) 750-8538
Mailing address
400 35TH AVE NE, GREAT FALLS, MT 59404-4207
(406) 750-8538
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
812
MT
2251S0007X
Sports Physical Therapist
812
MT
2251X0800X
Orthopedic Physical Therapist
Primary
812
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401879
—
MT
Enumeration date
11/28/2005
Last updated
05/24/2023
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