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Individual

JOHN BLAKENEY LANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
1650 PHILLIPS RD, TALLAHASSEE, FL 32308-5304
(850) 942-9868
Mailing address
1262 BUTTERMILK BEND CIR, CHIPLEY, FL 32428-1163
(850) 326-6689

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20261
FL

Other

Enumeration date
08/13/2019
Last updated
08/13/2019
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