ANITA ELLIOTT LANE

FORT WORTH, TX
NPI1902113798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  100842)
Enumeration Date2010-09-01
Last Update Date2010-10-19
Business Address
-- ANITA ELLIOTT LANE OTR
3840 HULEN ST
FORT WORTH, TX 76107-7277
Phone number: 817-569-4396
Mailing Address
-- ANITA ELLIOTT LANE OTR
PO BOX 2603
FORT WORTH, TX 76113-2603
Phone number: 817-569-4396
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