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NPI Code Detail

MEDICARE: JULIE NIVER LANE

MEDICARE: JULIE NIVER 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
1225100000XPhysical Therapist11242SC
2225100000XPhysical TherapistPT 26738FL

General Provider Information

NPI Number : 1891075214
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE NIVER LANE
Provider Business Mailing Address
First Line : 1311 MAMARONECK AVE STE 140
Second Line :
City : WHITE PLAINS
State : NY
Zip : 10605-5224
Country : US
Telephone Number : 914-294-4050
Fax Number :
Provider Business Practice Location Address
First Line : 1738 CELANESE RD STE 102
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-1731
Country : US
Telephone Number : 803-670-3067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2011
Last Update Date : 09/17/2025

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Directions to “ JULIE NIVER LANE ” Practice Location

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