Individual
OSCAR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10651 E US HIGHWAY 36, AVON, IN 46123-7983
(317) 677-0174
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012565A
IN
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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