Most Relevant Information
Provider Data
| NPI Number: | 1003567272 |
| Provider Name: | SYDNEY LANE |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OA2378 |
Most Important Dates
| Enumeration Date: | 01/10/2022 |
| Last Updated: | 01/10/2022 |
Provider Practice Location
11900 N MACARTHUR BLVD STE B
OKLAHOMA CITY
OK
731621860
Practice Location Phone/Fax
| Phone: | 4054649595 |
| Fax: | 4054936787 |
Provider Mailing Location
11900 N MACARTHUR BLVD STE B
OKLAHOMA CITY
OK
731621860
Provider Mailing Phone/Fax
| Phone: | 4054649595 |
| Fax: | 4054936787 |