Individual
KRISANNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
540 S ARAPEEN DR STE 200, SALT LAKE CITY, UT 84108-1216
(801) 585-6837
Mailing address
941 ALTON DR, NORTH SALT LAKE, UT 84054-6065
(801) 657-9676
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
50138884201
UT
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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