Individual
MS. BIANCA LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-6941
Mailing address
382 S MAIN ST, CHESHIRE, CT 06410-3115
(203) 250-9663
(203) 699-6941
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003343
CT
Other
Enumeration date
11/20/2009
Last updated
03/08/2016
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