Individual
KERRY DAYTON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1269 MAIN ST, CONCORD, MA 01742-3099
(978) 287-7951
(978) 287-7951
Mailing address
1269 MAIN ST, CONCORD, MA 01742-3099
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/12/2017
Last updated
09/12/2017
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