Individual
SANDRA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1805 S 11TH ST, PHILADELPHIA, PA 19148-1607
(610) 507-0434
Mailing address
1805 S 11TH ST, PHILADELPHIA, PA 19148-1607
(610) 507-0434
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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