Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Joan Lane

Individual provider Occupational Therapist · NPI 1780886093

Kimberly Joan Lane is an Occupational Therapist in Stony Brook, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

17 Manor Ln
Stony Brook, NY 11790-2817
Phone: (631) 751-4266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 8995-1 (NY)

Record details

NPI number1780886093
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 31, 2007
Last updated in NPPESJuly 8, 2007

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