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Individual
MATTHEW LEWELLIS
Active
Individual
MATTHEW LEWELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012580
PA
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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