Cory I Lewis, DPT

NPI #1467496323 in Kellogg, Idaho

Provider Information

NPI Number
1467496323
Entity Type
Individual
Name
Cory I Lewis, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
DPT
Enumeration Date
Jun 15, 2006
Last Updated
Jan 21, 2008

Practice Location

Address
740 MCKINLEY AVE
State
Idaho
ZIP Code
83837-2523
Phone
(208) 457-9125

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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