Individual
AIMEE LISA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 BALIGNAC AVE, WOODLYN, PA 19094-1803
(610) 746-0730
Mailing address
177 BALIGNAC AVE, WOODLYN, PA 19094-1803
(610) 476-0730
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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