Individual
MR. JOHN TERRENCE LEWIS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2305 RED MAPLE CT SE, CONYERS, GA 30013-6719
(678) 549-1487
Mailing address
2305 RED MAPLE CT SE, CONYERS, GA 30013-6719
(678) 549-1487
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007679
GA
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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