Shannon Marie Lane
Shannon Marie Lane is a Physical Therapy Assistant in Providence, Rhode Island. Practices as a sole proprietor. Licensed in Rhode Island.
- Licensed in
- RI
- In the registry since
- 2012
Practice location Address checks out
195 Collyer StProvidence, RI 02904-1869
Phone: (401) 793-4080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA 00880 (RI) |
|---|
Record details
| NPI number | 1215283825 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 1, 2012 |
| Last updated in NPPES | August 1, 2012 |
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