Organization
LANE OCCUPATIONAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENICA TANYA LANE OTR (OWNER)
(217) 827-7470
Entity
Organization
Contact information
Practice address
3457 ROSEWOOD LN, SACHSE, TX 75048-4333
(217) 827-7470
Mailing address
3457 ROSEWOOD LN, SACHSE, TX 75048-4333
(217) 827-7470
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881419380
NPPES
TX
Enumeration date
03/20/2025
Last updated
05/16/2025
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