SHANNON MARIE LANE

PROVIDENCE, RI
NPI1215283825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: RI  PTA 00880)
Enumeration Date2012-08-01
Last Update Date2012-08-01
Business Address
-- SHANNON MARIE LANE
195 COLLYER ST
PROVIDENCE, RI 02904-1869
Phone number: 401-793-4080
Mailing Address
-- SHANNON MARIE LANE
195 COLLYER ST
PROVIDENCE, RI 02904-1869
Phone number: 401-793-4080
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