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Individual
QUINTIN S. LEWIS
Active
Individual
QUINTIN S. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CMTPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206025
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05954
GROUP MEDICARE PTAN
VA
Enumeration date
03/21/2012
Last updated
11/03/2023
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