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NPI Code Detail

MEDICARE: BOBBIE LANE

MEDICARE: BOBBIE LANE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantTEI002799PA

General Provider Information

NPI Number : 1598138216
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBIE LANE
Provider Business Mailing Address
First Line : 955 GREEN BRIER RD
Second Line :
City : FRIEDENS
State : PA
Zip : 15541-6913
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 118 SHAELI DR
Second Line :
City : SOMERSET
State : PA
Zip : 15501-1805
Country : US
Telephone Number : 814-443-0130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2015
Last Update Date : 04/10/2024

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Directions to “ BOBBIE LANE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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