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Organization
NATHAN LEWIS DPT, LLC
Active
Organization
NATHAN LEWIS DPT, LLC
Active
Other names
Rogue Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN LEWIS DPT (LICENSED PHYSICAL THERAPIST)
(541) 301-2499
Entity
Organization
Contact information
Practice address
14 COTTAGE ST, MEDFORD, OR 97504-7332
(541) 301-2499
(541) 500-3303
Mailing address
945 OAK ST, ASHLAND, OR 97520-1266
(541) 301-2499
(541) 500-3303
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447766027
—
OR
Enumeration date
12/19/2017
Last updated
01/06/2021
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