Iman Lewis, PTA
NPI #1053136606 in Fort Walton Beach, Florida
Provider Information
- NPI Number
- 1053136606
- Entity Type
- Individual
- Name
- Iman Lewis, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Nov 19, 2024
- Last Updated
- Oct 19, 2025
Practice Location
- Address
- 661 RANDALL ROBERTS RD
- State
- Florida
- ZIP Code
- 32547-4943
- Phone
- (850) 266-4534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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