Individual
MRS. JENNIFER LYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATP
Contact information
Practice address
407 CHURCH ST, SUITE E, GEORGETOWN, SC 29440-3792
(843) 545-5300
Mailing address
102 LUMBER CT, MYRTLE BEACH, SC 29588-7438
(843) 685-7413
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5953
SC
Other
Enumeration date
01/07/2008
Last updated
02/15/2011
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