Individual
VICTORIA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1610 FOREST AVE, SUITE 214, RICHMOND, VA 23229-5009
(804) 282-4596
Mailing address
1828 BELLAMY PL, GLEN ALLEN, VA 23059-8002
(860) 707-3734
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119006259
VA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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