DAVID LANE

O FALLON, MO
NPI1295927176
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2000157289)
Enumeration Date2007-08-14
Last Update Date2007-08-14
Business Address
-- DAVID LANE COTA/L,MHA
19 BRIARMIST CT
O FALLON, MO 63366-6318
Phone number: 636-379-4441
Mailing Address
-- DAVID LANE COTA/L,MHA
19 BRIARMIST CT
O FALLON, MO 63366-6318
Phone number: 636-379-4441
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