Stephen Michael Lane, COTA/L Valid NPI
Individual provider · Occupational Therapy Assistant · Bradford, MA
- NPI
- 1851724231
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapy Assistant
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 224Z00000X
- License number
- OP007567 (PA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2013-08-20
- Last updated
- 2014-05-06
Practice location
11 Shawmut Ave
Bradford, MA 01835-7930
(412) 992-7921