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1386131894
LANE BAKER
SPRINGFIELD, TN
NPI
1386131894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: UT 98214844202)
Enumeration Date
2018-04-19
Last Update Date
2018-04-19
Business Address
LANE BAKER COTA, CLT
3131 TOM AUSTIN HIGHWAY
SPRINGFIELD, TN 37172
Phone number: 615-382-7979
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Mailing Address
LANE BAKER COTA, CLT
3131 TOM AUSTIN HWY
SPRINGFIELD, TN 37172-4801
Phone number:
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