Individual
BRIANA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1646 MILITARY HWY, PINEVILLE, LA 71360-5042
(318) 443-9305
(318) 443-3143
Mailing address
1646 MILITARY HWY, PINEVILLE, LA 71360-5042
(318) 443-9305
(318) 443-3143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
A8486
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72-1475515
TAX ID
LA
Enumeration date
03/21/2014
Last updated
03/21/2014
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