Provider Demographics
NPI:1902349624
Name:LANE, REBECCA KRISTINE (DPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:KRISTINE
Last Name:LANE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 CHARTER OAK RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29072-9246
Mailing Address - Country:US
Mailing Address - Phone:803-359-1551
Mailing Address - Fax:803-359-0362
Practice Address - Street 1:163 CHARTER OAK RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:SC
Practice Address - Zip Code:29072-9246
Practice Address - Country:US
Practice Address - Phone:803-359-1551
Practice Address - Fax:803-359-0362
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4850225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation