Tracey L. Lane in Bridgeport - Occupational Therapist
Tracey L. Lane - NPI 1063543130
Tracey L. Lane is a Occupational Therapist in Bridgeport, Connecticut. Tracey L. Lane practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Tracey L. Lane is 1063543130. The last update date is 2007-07-08.
Tracey L. Lane's current location address is 267 Grant St, Bridgeport, Connecticut. You can contact this provider via phone number 2033843000 and fax number 2033367368. The mailing address for Tracey L. Lane is 267 Grant St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey L. Lane |
|---|---|
| Address | 267 Grant St, Bridgeport, Connecticut |
| Phone Number | 2033843000 |
| Fax Number | 2033367368 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1063543130 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 267 Grant St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66102805 |
| Phone Number | 2033843000 |
| Fax Number | 2033367368 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3116 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the unique identifier code issued to Tracey L. Lane by the Centers for Medicare & Medicaid Services (CMS)?
The Tracey L. Lane has been assigned the NPI (National Provider Identifier) 1063543130. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Tracey L. Lane is physically located?
The Tracey L. Lane is situated at the following address: 267 Grant St, Bridgeport, CT 66102805.
What is Tracey L. Lane's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tracey L. Lane's area of specialization is Occupational Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063543130 to Tracey L. Lane?
The Centers for Medicare & Medicaid Services assigned the 1063543130 to Tracey L. Lane on 2007-03-08.
As of what date were the details related to Tracey L. Lane most recently updated or revised?
The information pertaining to Tracey L. Lane, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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