Organization
BRIDGES AND BEYOND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI LEWIS BA (DEVELOPMENTAL THERAPIST)
(919) 554-3001
Entity
Organization
Contact information
Practice address
104 S WHITE ST, SUITE 205, WAKE FOREST, NC 27587-2773
(919) 554-0013
Mailing address
104 S WHITE ST, SUITE 205, WAKE FOREST, NC 27587-2773
(919) 554-0013
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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