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Individual
DR. BLADE LEWIS
Active
Individual
DR. BLADE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
210002187
DC
225100000X
Physical Therapist
2305215064
VA
225100000X
Physical Therapist
Primary
29321
MD
225100000X
Physical Therapist
—
NULL
Other
Enumeration date
10/14/2022
Last updated
06/06/2025
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