Tara L. Lewis, PT

NPI #1407899701 in Blaine, Minnesota

Provider Information

NPI Number: 1407899701
Entity Type: Individual
Name: Tara L. Lewis, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 14, 2006
Last Updated: Oct 21, 2008

Practice Location

Address: 11855 ULYSSES ST NE
City: Blaine
State: Minnesota
ZIP Code: 55434-3947
Phone: (763) 767-3140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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