Individual
DR. JAIFI LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6024 FOX GROVE PLACE, MIDLOTHIAN, VA 23112
(917) 288-0775
Mailing address
4944 MILLRIDGE PARKWAY #1704, MIDLOTHIAN, VA 23113
(804) 464-3253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034614-1
NY
225100000X
Physical Therapist
Primary
2305209119
VA
Other
Enumeration date
01/10/2012
Last updated
05/31/2019
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