JUSTIN JAMES LANE

PEMBROKE PINES, FL
NPI1083120364
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA28115)
Enumeration Date2017-12-21
Last Update Date2017-12-21
Business Address
JUSTIN JAMES LANE
881 NW 99TH AVE
PEMBROKE PINES, FL 33024-6162
Phone number: 954-437-8099
Mailing Address
JUSTIN JAMES LANE
938 KOKOMO KEY LN
DELRAY BEACH, FL 33483-6031
Phone number:
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