Amanda Lane

Individual provider Active NPI Occupational Therapy Assistant · Lakeville, MA

NPI 1366836199 · NPPES record last updated Mar 18, 2015

Key facts

NPI
1366836199
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
3848 (MA)
Practice address
2 Commercial Dr
Lakeville, MA 02347-3640
Phone
(774) 260-1242
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 3848 MA Yes

Addresses

Primary practice location

2 Commercial Dr
Lakeville, MA 02347-3640

Mailing address

2 Commercial Dr
Lakeville, MA 02347-3640
Phone (774) 260-1242

Other providers in Lakeville, MA

All providers in Lakeville, MA · Occupational Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.