Individual
ROSS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1785
(229) 333-1000
Mailing address
26473 61ST RD, BRANFORD, FL 32008-2427
(386) 854-0792
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004367
GA
225200000X
Physical Therapy Assistant
PTA29793
FL
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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