LANE FUNKE

GOOSE CREEK, SC
NPI1982796116
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  3051)
Enumeration Date2006-09-28
Last Update Date2007-07-08
Business Address
-- LANE FUNKE ORT/L
120 SPRINGHALL DR # C
GOOSE CREEK, SC 29445-5335
Phone number: 843-216-0290
Mailing Address
-- LANE FUNKE ORT/L
PO BOX 1753
MT PLEASANT, SC 29465-1753
Phone number: 843-216-0290
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