NPI 1215283825

Shannon Marie Lane

Practitioner Physical Therapy Assistant Providence, RI

Practice location

Address: 195 Collyer St, Providence, RI 02904-1869
Phone: (401) 793-4080

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 00880 (RI)

Other Physical Therapy Assistant providers in Rhode Island →

Registry record

NPI: 1215283825
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2012
Record last updated: 1 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.