Individual
FAWN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16055 OLD FOREST PT STE 101B, MONUMENT, CO 80132-8670
(719) 247-8916
Mailing address
16055 OLD FOREST PT STE 101B, MONUMENT, CO 80132-8670
(719) 247-8916
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8133471495
CO
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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