JEFF S LANE

ANMORE, WV
NPI1003500802
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WV  000946)
Enumeration Date2023-06-05
Last Update Date2023-06-05
Business Address
Mr. JEFF S LANE PTA
67 CASINO DRIVE SUITE 104
ANMORE, WV 26323
Phone number: 304-622-2684
Mailing Address
Mr. JEFF S LANE PTA
5320 GEORGETOWN RD
HORNER, WV 26372-9687
Phone number: 304-517-0271