Doctor Name: | MRS. JO E DOLECKI-LANE |
NPI Number: | 1548367469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 5501000757 |
Business Practice Address: | 2215 Fuller Rd Ann Arbor, MI - 481052303 |
Business Phone Number: | 7347617364 |
Business Fax Number: | 7342136947 |
Mailing Address: | 2215 Fuller Rd, ANN ARBOR |
State: | MI |
Postal Code: | 481052303 |
Phone Number: | 7347617364 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5501000757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |