Individual
ROGER LEWIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 SHAWANEE RD, HARROGATE, TN 37752-8305
(423) 869-5376
Mailing address
600 SHAWANEE RD, HARROGATE, TN 37752-8305
(423) 869-5376
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2828
TN
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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