Individual
MEGAN MARIE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3600 COUNTRY CLUB DR STE 530B, JEFFERSON CITY, MO 65109-1060
(573) 606-7100
Mailing address
1739 ELM CT STE 205206, JEFFERSON CITY, MO 65101-4303
(573) 681-0447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2022041247
MO
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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