Individual
KATHERINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 BUSINESS PARK DR, SUITE 204, RINCON, GA 31326-5583
(877) 826-1509
Mailing address
1419 ADDISON PL, SUITE 204, POOLER, GA 31322-9471
(904) 449-4666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012196
GA
Other
Enumeration date
12/13/2015
Last updated
12/13/2015
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