MISS Keisha Michelle Lewis, OTR/L, CDE

NPI #1154722114 in Waldorf, Maryland

Provider Information

NPI Number: 1154722114
Entity Type: Individual
Name: MISS Keisha Michelle Lewis, OTR/L, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L, CDE
Enumeration Date: Sep 9, 2014
Last Updated: Sep 9, 2014

Practice Location

Address: 3328 FORDINGTON PL
City: Waldorf
State: Maryland
ZIP Code: 20603-4446
Phone: (803) 840-3312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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