Individual
MICHELLE RAE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1600 W LA JOLLA DR APT 2120, TEMPE, AZ 85282-4469
(262) 995-3498
Mailing address
1600 W LA JOLLA DR APT 2120, TEMPE, AZ 85282-4469
(262) 995-3498
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
345297
AZ
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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