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Contact Information

MACKENZIE LANE, DPT
1395 N COURTENAY PKWY STE 102
MERRITT ISLAND, FL32953
 Phone: 321-986-8812
 Fax: 321-327-2130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MACKENZIE LANE · (Female)

NPI # 1144793167
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 01/03/2019
Last updated 07/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # PTT34299
  • Other PTT34299 PT LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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