Coletha P Lane in Jacksonville - Developmental Therapist
Coletha P Lane - NPI 1144372756
Coletha P Lane is a Developmental Therapist in Jacksonville, Florida. Coletha P Lane practices all healthcare services and medical treatments related to Developmental Therapist. The NPI Number for Coletha P Lane is 1144372756. The last update date is 2008-09-30.
Coletha P Lane's current location address is 910 N Jefferson St, Jacksonville, Florida. You can contact this provider via phone number 9043607022 and fax number 9047984544. The mailing address for Coletha P Lane is 910 N Jefferson St, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Coletha P Lane |
|---|---|
| Address | 910 N Jefferson St, Jacksonville, Florida |
| Phone Number | 9043607022 |
| Fax Number | 9047984544 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1144372756 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2008-09-30 |
Provider Mailing Address Detail
| Address | 910 N Jefferson St |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322096810 |
| Phone Number | 9043607022 |
| Fax Number | 9047984544 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental Therapist |
|---|---|
| Taxonomy | 222Q00000X |
|
Definition: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 811824800 | FL | -- | |
| 767404000 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Coletha P Lane by the Centers for Medicare & Medicaid Services?
The Coletha P Lane has been issued the NPI (National Provider Identifier) 1144372756. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Coletha P Lane is physically located?
The Coletha P Lane is physically situated at the following address: 910 N Jefferson St, Jacksonville, FL, 322096810.
What is Coletha P Lane's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Coletha P Lane is Developmental Therapist, and the taxonomy code that categorizes this field of expertise is 222Q00000X.
On what date did the Coletha P Lane receive its 1144372756 assignment from the Centers for Medicare & Medicaid Services?
The Coletha P Lane was assigned its 1144372756 by the Centers for Medicare & Medicaid Services on 2007-01-17.
As of what date was the information regarding Coletha P Lane, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Coletha P Lane, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-30.
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