Individual
MRS. RANDI SUSAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
479 W 1400 N, OREM, UT 84057-7000
(801) 426-4905
Mailing address
6001 E THOMAS RD, SCOTTSDALE, AZ 85251-7511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8822
AZ
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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