Individual
MRS. KAITLIN ALEXIS LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1982 BOWLES AVE, CREEDMOOR, NC 27522-7823
(304) 552-3604
Mailing address
1982 BOWLES AVE, CREEDMOOR, NC 27522-7823
(304) 552-3604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13486
NC
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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