TRACEY L. LANE

BRIDGEPORT, CT
NPI1063543130
Former NameTRACEY L. KERBS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CT  003116)
Enumeration Date2007-03-08
Last Update Date2007-07-08
Business Address
-- TRACEY L. LANE
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
Mailing Address
-- TRACEY L. LANE
52 COBBLESTONE DR
HAMDEN, CT 06518-1749
Phone number:
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