Individual
ASHLEY DANIELLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
31998 HIGHWAY O, FALCON, MO 65470-7180
(417) 664-2238
Mailing address
31998 HIGHWAY O, FALCON, MO 65470-7180
(417) 664-2238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013025653
MO
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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