Individual
CLEOPHUS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(334) 233-1934
Mailing address
PO BOX 804, UNIONTOWN, AL 36786-0804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3915
AL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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