MR. David Lewis, PTA

NPI #1609367291 in Fort Atkinson, Wisconsin

Provider Information

NPI Number: 1609367291
Entity Type: Individual
Name: MR. David Lewis, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 20, 2018
Last Updated: May 20, 2018

Practice Location

Address: 431 RAINTREE DR
City: Fort Atkinson
State: Wisconsin
ZIP Code: 53538
Phone: (512) 618-9460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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