Individual
AUDREANA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MELROSE DR, GLASGOW, WV 25086
(304) 595-1155
Mailing address
147 HELEN ST, LESAGE, WV 25537-2260
(304) 840-3811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004748
WV
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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