Doctor Name: | DR. CAMILLA RAE LANE |
NPI Number: | 1043299241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 6159 |
Business Practice Address: | 2222 E Highland Ave Suite 300 Phoenix, AZ - 850164872 |
Business Phone Number: | 6022776211 |
Business Fax Number: | 6022669425 |
Mailing Address: | 2222 E Highland Ave, Suite 300 PHOENIX |
State: | AZ |
Postal Code: | 850164872 |
Phone Number: | 6022776211 |
Fax Number: | 6022669425 |
NPI Enumeration Date: | 01/16/2006 |
NPI Last Update Date: | 02/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6159 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |