Elizabeth Christianne Lane, P.T.
Physical Therapist in Atlanta, GA. Individual provider (NPI-1).
NPI number1861692790
StatusActive
Last updated in NPPESJul 19, 2007
Details
- NPI
- 1861692790
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Christianne Lane
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2007
- Last updated
- Jul 19, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT009112 | GA | Yes |
Practice location
550 Peachtree St NeSuite 1020
Atlanta, GA 30308-2247
Phone 404-874-3467 · Fax 404-874-5858
Mailing address
1153 Shephers Lane NeAtlanta, GA 30324
Phone 678-787-5244
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