Provider Demographics
NPI:1851656987
Name:LANE, SARI L (DPT)
Entity type:Individual
Prefix:
First Name:SARI
Middle Name:L
Last Name:LANE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SARI
Other - Middle Name:LYNN
Other - Last Name:LANE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:4800 LINTON BLVD
Mailing Address - Street 2:SUITE F116
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33445-6584
Mailing Address - Country:US
Mailing Address - Phone:561-498-1423
Mailing Address - Fax:561-498-7648
Practice Address - Street 1:4800 LINTON BLVD
Practice Address - Street 2:SUITE F116
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33445-6584
Practice Address - Country:US
Practice Address - Phone:561-498-1423
Practice Address - Fax:561-498-7648
Is Sole Proprietor?:No
Enumeration Date:2012-07-04
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTT27372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist