MICHAEL LANE

WASHINGTON, IL
NPI1992259949
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2016-08-08
Last Update Date2016-08-08
Business Address
-- MICHAEL LANE DPT
1201 N CUMMINGS LN
WASHINGTON, IL 61571-9267
Phone number: 309-886-2305
Mailing Address
-- MICHAEL LANE DPT
1201 N CUMMINGS LN
WASHINGTON, IL 61571-9267
Phone number: 309-886-2305