Individual
GERALDINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13148 KANSAS AVE, BONNER SPRINGS, KS 66012-9390
(913) 422-1634
Mailing address
13148 KANSAS AVE, BONNER SPRINGS, KS 66012-9390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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