Individual
MRS. CONNIE ENGLERT LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, CHT
Contact information
Practice address
2932 BRECKENRIDGE LN, SUITE 10, LOUISVILLE, KY 40220-1409
(502) 895-3972
(502) 897-5299
Mailing address
2932 BRECKENRIDGE LN, SUITE 10, LOUISVILLE, KY 40220-1409
(502) 895-3972
(502) 897-5299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
000468
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01233001
MEDICARE PTAN
KY
Enumeration date
04/26/2007
Last updated
02/26/2010
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