Individual
ALYSSA LYNN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
331 ARTHUR ST, GREENDALE, IN 47025-1267
(812) 584-6167
Mailing address
331 ARTHUR ST, GREENDALE, IN 47025-1267
(812) 584-6167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005279A
IN
225X00000X
Occupational Therapist
R5219
KY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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