Individual
JESSICA N LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1180 SATELLITE BLVD NW STE 100, SUWANEE, GA 30024-4637
(404) 367-2080
(770) 495-3493
Mailing address
PO BOX 949, ROME, GA 30162-0949
(404) 367-2080
(770) 495-3493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016139
GA
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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