Wanda Lewis

NPI #1124424148 in Cantonment, Florida

Provider Information

NPI Number: 1124424148
Entity Type: Individual
Name: Wanda Lewis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 18, 2014
Last Updated: Nov 18, 2014

Practice Location

Address: 1740 MUSCOGEE RD
City: Cantonment
State: Florida
ZIP Code: 32533-9110
Phone: (850) 380-1192

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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