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Contact Information

MARIE LANE, TRT
4090 W PIONEER PKWY
WEST VALLEY CITY, UT84120-2060
 Phone: 801-397-4400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreational Therapist Assistant

226000000X
Indicates primary specialty

NPI Profile & details for MARIE LANE · (Female)

NPI # 1912761271
Status Active
Credentials TRT
Entity Individual
Enumeration date 02/07/2024
Last updated 02/07/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 10870840-4003
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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