Individual
MISS BRITNEY LAUREN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 BRIGHTFIELD RD, LUTHERVILLE, MD 21093
(410) 296-1990
Mailing address
4915 KNABLE LN, TREVOSE, PA 19053-7913
(215) 208-9398
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4020
MD
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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