ANTHONY LANE

ST LOUIS PARK, MN
NPI1699110528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  103927)
Enumeration Date2013-05-06
Last Update Date2013-05-06
Business Address
-- ANTHONY LANE OTR
4415 W 36 1/2 ST
ST LOUIS PARK, MN 55416-4854
Phone number: 952-927-9717
Mailing Address
-- ANTHONY LANE OTR
618 GRIFFIN ST
CARVER, MN 55315-9308
Phone number:
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