Mrs. Tijuana Theresa Lane - Palmyra, NJ

Mrs. Tijuana Theresa Lane

Prosthetic/Orthotic Supplier in Palmyra, New Jersey

NPI 1457131955

Tijuana Theresa Lane is a Prosthetic/Orthotic Supplier based in Mount Laurel, NJ. Tijuana Theresa Lane practices in Palmyra, NJ. The NPI Number for Tijuana Theresa Lane is 1457131955 and holds a License No. (New Jersey).

The current practice location address for Tijuana Theresa Lane is 535 Cinnaminson Ave, Palmyra, NJ and can be reached out via phone at 856-287-3578.

Location: 535 Cinnaminson Ave, Palmyra, NJ, 08054-5236

NPI Number

1457131955

Provider Name

Tijuana Theresa Lane

Credential

Provider Entity Type

Individual

Gender

Female

Address

535 Cinnaminson Ave, Palmyra, NJ, 08054-5236

Phone Number

856-287-3578

Fax Number

Provider Enumeration Date

10/02/2023

Last Update Date

03/10/2024

Address

535 Cinnaminson Ave

City

Palmyra

State

New Jersey

Zip

08065-1610

Phone Number

856-287-3578

Fax Number

Address

535 Cinnaminson Ave

City

Palmyra

State

New Jersey

Zip

08065-1610

Phone Number

856-287-3578

Fax Number

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

(New Jersey)

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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