Jessica Lewis, MPT

NPI #1063775443 in Flora, Illinois

Provider Information

NPI Number: 1063775443
Entity Type: Individual
Name: Jessica Lewis, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jun 20, 2012
Last Updated: Jun 20, 2012

Practice Location

Address: 929 STACEY BURK DR
City: Flora
State: Illinois
ZIP Code: 62839-3241
Phone: (618) 662-8060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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