Individual
AUDRA T LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2120 N MACARTHUR BLVD, SUITE100, IRVING, TX 75061-2225
(972) 438-4636
(214) 260-0953
Mailing address
2120 N MACARTHUR BLVD, SUITE100, IRVING, TX 75061-2225
(972) 438-4636
(214) 260-0953
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1138394PT
TX
Other
Enumeration date
09/15/2006
Last updated
07/08/2007
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