Individual
MR. THOMAS BRUCE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 DAWSON COMMONS CIR, SUITE 430, DAWSONVILLE, GA 30534-6269
(706) 268-7905
(706) 265-8788
Mailing address
3385 MAPLE TERRACE DR, SUWANEE, GA 30024-3705
(770) 271-3472
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003133
GA
Other
Enumeration date
07/30/2013
Last updated
07/30/2013
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