Individual provider · Type 1 NPI

Kristen Hubbard Lane, PT

Pediatric Physical Therapist · Charleston, SC

NPI number 1720633688 Active

Practice location

142 Sportsman Island Dr Ste E
Charleston, SC 29492-8524

Call (843) 696-2174 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200X9818 (SC)
Pediatric Physical Therapist Primary 2251P0200XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1720633688

Kristen Hubbard Lane, PT's National Provider Identifier is 1720633688, issued on Aug 7, 2019. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Charleston, SC. The record was last updated on Feb 27, 2025.