Stacey Lewis, COTA/L

NPI #1952819237 in Pocatello, Idaho

Provider Information

NPI Number
1952819237
Entity Type
Individual
Name
Stacey Lewis, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jan 19, 2018
Last Updated
Jan 19, 2018

Practice Location

Address
1009 W QUINN RD
State
Idaho
ZIP Code
83202-2425
Phone
(208) 427-4155

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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