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1194494955
TIMOTHY J LANE
ENCINITAS, CA
NPI
1194494955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA PT300789)
Enumeration Date
2021-09-07
Last Update Date
2022-04-06
Business Address
TIMOTHY J LANE PT
1092 N EL CAMINO REAL
ENCINITAS, CA 92024-1367
Phone number: 760-633-6507
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Mailing Address
TIMOTHY J LANE PT
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 760-633-6507
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