Doctor Name: | HOPE ANNELIESE LANE |
NPI Number: | 1871821397 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | MA55128 |
Business Practice Address: | 1710 Se 16th Ave Ocala, FL - 344714656 |
Business Phone Number: | 3526201900 |
Business Fax Number: | 3526201901 |
Mailing Address: | 4500 W Newberry Rd, GAINESVILLE |
State: | FL |
Postal Code: | 326072245 |
Phone Number: | 3523366000 |
Fax Number: | 3523320799 |
NPI Enumeration Date: | 11/20/2009 |
NPI Last Update Date: | 04/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA55128 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |