Individual
MRS. BONNIE ALYSON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
553 E 4TH ST, BROOKLYN, NY 11218-4507
(718) 438-1423
Mailing address
553 E 4TH ST, BROOKLYN, NY 11218-4507
(718) 438-1423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003891-1
NY
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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