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Individual

MR. CHARLES H. LEWIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2067 W VISTA WAY, VISTA, CA 92083-6031
(760) 631-5888
(760) 631-5880
Mailing address
849 RIO CLARO CT, OCEANSIDE, CA 92057-6323
(760) 758-3103

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5338
CA

Other

Enumeration date
03/19/2007
Last updated
07/08/2007
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