Individual
GREGORY ALAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1979 LAKESIDE PKWY, SUITE 800, TUCKER, GA 30084-5935
(800) 849-5502
(866) 386-9425
Mailing address
761 N SAN MARCOS ST, SEGUIN, TX 78155-4248
(412) 445-0426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2074983
TX
Other
Enumeration date
10/02/2008
Last updated
10/01/2010
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