Individual
MRS. PATRICIA HOLYFIELD LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
304 JUDD PLACE DR, FUQUAY VARINA, NC 27526-2386
(919) 557-8305
(919) 557-8306
Mailing address
3313 BRENNAN DR, RALEIGH, NC 27613-1312
(919) 247-4031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5173
NC
Other
Enumeration date
09/20/2013
Last updated
04/30/2015
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