Individual
RACHEL LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. OTR L
Contact information
Practice address
1306 S DONAGHEY AVE, CONWAY, AR 72034-6993
(501) 329-5060
(601) 607-1545
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(501) 208-3498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163949721
—
AR
01
—
4459340001
CIGNA GOVERNMENT SERVICES
AR
01
—
5A268
BLUE CROSS BLUE SHIELD
AR
Enumeration date
11/29/2006
Last updated
03/09/2020
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