Doctor Name: | JEAN M. LANE |
NPI Number: | 1275784662 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 1559 |
Business Practice Address: | 81-937 Halekii St Suite 2 Kealakekua, HI - 967508182 |
Business Phone Number: | 8083228400 |
Business Fax Number: | |
Mailing Address: | Po Box 1094, KEALAKEKUA |
State: | HI |
Postal Code: | 967501094 |
Phone Number: | 8088704092 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2008 |
NPI Last Update Date: | 10/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 1559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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 |