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Individual

MS. EILEEN MARY LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
34 KELLY RIDGE RD, CARMEL, NY 10512-2005
(609) 505-9765
Mailing address
34 KELLY RIDGE RD, CARMEL, NY 10512-2005
(609) 505-9765

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
019179
NY
225X00000X
Occupational Therapist
Primary
46TR00169400
NJ
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
019179
NY
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
46TR00169400
NJ
225XG0600X
Gerontology Occupational Therapist
019179
NY
225XN1300X
Neurorehabilitation Occupational Therapist
019179
NY
225XN1300X
Neurorehabilitation Occupational Therapist
46TR00169400
NJ
225XP0200X
Pediatric Occupational Therapist
019179
NY
225XP0200X
Pediatric Occupational Therapist
46TR00169400
NJ

Other

Enumeration date
01/22/2007
Last updated
03/12/2015
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