Individual
ELIZABETH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12000 TURNMEYER DR SE, HUNTSVILLE, AL 35803-3358
(256) 881-6717
Mailing address
2637 GAWAIN RD SE, HUNTSVILLE, AL 35803-1844
(256) 405-8240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6991
AL
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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