Individual
CHELSEA ANN LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
220 KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4526
(207) 873-5123
Mailing address
111 FAIRVIEW AVE, STATEN ISLAND, NY 10314-3005
(646) 938-6838
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5566
ME
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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