Individual
MS. KRISTAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
114 STATE ST APT 2, ELLSWORTH, ME 04605-1826
(207) 460-0209
Mailing address
52 JOY WAY, ELLSWORTH, ME 04605-2605
(207) 460-0209
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2028
ME
225XP0200X
Pediatric Occupational Therapist
—
ME
Other
Enumeration date
06/28/2011
Last updated
01/17/2019
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