Individual
MICHELLE T. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 S POLK ST, PAPILLION, NE 68046-2568
(619) 884-1982
Mailing address
325 S POLK ST, PAPILLION, NE 68046-2568
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1090
NE
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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