David Lane, COTA/L,MHA Valid NPI

Individual provider · Occupational Therapy Assistant · O Fallon, MO

NPI

1295927176

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

2000157289 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2007-08-14

Last updated

2007-08-14