Individual
MRS. KIMBERLY ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1664 ALBION CT, CHICO, CA 95973-7647
(530) 893-9292
Mailing address
1664 ALBION CT, CHICO, CA 95973-7647
(530) 893-9292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 420
CA
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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