Individual
JESSE GORDON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1722 I ST NW, BASEMENT LEVEL, WASHINGTON, DC 20006
(202) 922-7331
Mailing address
1722 I ST NW, BASEMENT LEVEL, WASHINGTON, DC 20006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204979
VA
Other
Enumeration date
04/19/2007
Last updated
11/16/2021
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