Individual
AMY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
26396 BAY FARM RD, MILLSBORO, DE 19966-4993
(302) 947-9662
(302) 947-9692
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002633
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073822011
DELAWARE PHYSICIANS CARE
DE
05
—
1073822011
—
DE
01
—
12151669
CAQH
—
01
—
3806670000
AMERIHEALTH
DE
Enumeration date
09/24/2010
Last updated
06/07/2011
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