PATRICIA LANE

TROY, IL
NPI1144596644
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2012-03-28
Last Update Date2012-04-04
Business Address
Mrs. PATRICIA LANE
1204 ANTLER DR
TROY, IL 62294-2479
Phone number: 618-531-9574
Mailing Address
Mrs. PATRICIA LANE
1204 ANTLER DR
TROY, IL 62294-2479
Phone number: 618-531-9574
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