SHANNON LANE, COTA/L

NPI: 1093089179 · Individual · Active

Primary Specialty

Specialist

Practice Location

410 10TH AVE W
PALMETTO, FL 34221-5032 Map ↗
Phone: 941-722-3582
Fax: 941-729-8322

All Specialties & Licenses

  • Specialist Primary (license: 2054, TN)
  • Occupational Therapy Assistant (license: OTA11297, FL)

NPI Registration

Enumerated: 2012-03-07

Last CMS Update: 2014-08-07