Individual
DR. DALLAS JAMES LEWIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT MPT OCS
Contact information
Practice address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 315-2416
Mailing address
1061 HARMON AVE, SUITE 1D03, FORT STEWART, GA 31314-5641
(912) 315-2416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20061
MD
Other
Enumeration date
05/15/2008
Last updated
02/14/2012
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