Individual
MRS. ERIN R. LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
4 GROVE STREET, MAYFLOWER, AR 72106
(501) 470-0387
Mailing address
P.O. BOX 933, GREENBRIER, AR 72058
(501) 581-6045
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
2460
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142216721
—
AR
01
—
5W494
AR BLUECROSS BLUESHIELD
AR
Enumeration date
06/16/2006
Last updated
01/02/2020
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