Individual
SENA ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3954 S HAZEN DR, AMMON, ID 83406-1237
(307) 231-4567
Mailing address
3954 S HAZEN DR, AMMON, ID 83406-1237
(307) 231-4567
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
08/03/2025
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