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Individual

MRS. MELINDA NELSON LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3000 S STATE ROAD 135, SUITE 110, GREENWOOD, IN 46143-9607
(317) 535-4075
(317) 535-4076
Mailing address
3000 S STATE ROAD 135, SUITE 110, GREENWOOD, IN 46143-9607
(317) 535-4075
(317) 535-4076

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003490A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05003490A
STATE LICENSE NUMBER
IN
Enumeration date
03/13/2007
Last updated
08/07/2013
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