Individual
CHERYL FISHER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1201 LA SALLE ST, TALLULAH, LA 71282-4921
(318) 235-6783
Mailing address
1201 LA SALLE ST, TALLULAH, LA 71282-4921
(318) 235-6783
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10659
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/16/2017
Last updated
11/16/2017
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