Individual provider · Type 1 NPI
Patricia Lane
Developmental Therapist · Troy, IL
Practice location
1204 Antler Dr
Troy, IL 62294-2479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None listed |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1144596644
Patricia Lane's National Provider Identifier is 1144596644, issued on Mar 28, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Troy, IL. The record was last updated on Apr 4, 2012.