Individual
LANE ELIZABETH STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
104 E BOWER AVE, HARRISON, AR 72601-3610
(479) 426-1214
Mailing address
20677 SR 124, ATKINS, AR 72823-8196
(479) 518-8113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/04/2018
Last updated
03/04/2018
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