Individual
REBECCA KRISTINE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
163 CHARTER OAK RD, LEXINGTON, SC 29072-9246
(803) 359-1551
(803) 359-0362
Mailing address
163 CHARTER OAK RD, LEXINGTON, SC 29072-9246
(803) 359-1551
(803) 359-0362
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
4850
SC
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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