Individual
SARA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2804 N OAK ST, STE C, VALDOSTA, GA 31602-5914
(229) 241-8925
Mailing address
2880 FAWNWOOD CIR, VALDOSTA, GA 31602-4119
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
AT002387
GA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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