Andrea L Lewis, PT

NPI #1275692519 in Jackson, Wyoming

Provider Information

NPI Number: 1275692519
Entity Type: Individual
Name: Andrea L Lewis, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 6, 2006
Last Updated: Dec 8, 2008

Practice Location

Address: 1116 MAPLE WAY
City: Jackson
State: Wyoming
ZIP Code: 83001
Phone: (307) 413-4268

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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