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Individual
LEWIS CALDWELL
Active
Individual
LEWIS CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007418L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0559553000
AMERIHEALTH
PA
01
—
212910
MAMSI PROVIDER
PA
01
—
722225
PABS
—
Enumeration date
06/22/2006
Last updated
02/17/2025
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