Individual
MS. IMONIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1449 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-2932
(925) 939-5820
Mailing address
10300 DANTE AVE, OAKLAND, CA 94603-3432
(510) 590-1796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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