Individual
JONATHAN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1130 N CHURCH ST STE 201, GREENSBORO, NC 27401-1041
(336) 275-1711
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
06/21/2024
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