Individual
KECIA K LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8169 INGALLS RD, BELDING, MI 48809-9715
(616) 490-4722
Mailing address
8169 INGALLS RD, BELDING, MI 48809-9715
(616) 490-4722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
211179
TX
224Z00000X
Occupational Therapy Assistant
Primary
5202002030
MI
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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