Individual
ALYSSA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
18 LAKEVIEW POINT AVE, BRANCHVILLE, NJ 07826-6002
(862) 354-0811
Mailing address
18 LAKEVIEW POINT AVE, BRANCHVILLE, NJ 07826-6002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00217900
NJ
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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