Individual
DANI M LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
414 W SUNSET RD, SUITE 110, SAN ANTONIO, TX 78209-1756
(210) 828-7557
Mailing address
414 W SUNSET RD, SUITE 110, SAN ANTONIO, TX 78209-1756
(210) 828-7557
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
1277735
TX
261QP2000X
Physical Therapy Clinic/Center
Primary
1277735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1277735
PHYSICAL THERAPY LICENSE
TX
Enumeration date
11/09/2016
Last updated
11/09/2016
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