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Individual

ALYSSA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
425 CHINWORTH CT, WARSAW, IN 46580-3267
(574) 204-4158
Mailing address
411 WOOSTER RD UNIT 2, WINONA LAKE, IN 46590-1201
(989) 889-5098

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006322A
IN

Other

Enumeration date
01/30/2021
Last updated
01/30/2021
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