Individual
MONIQUE CHERELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 S KINGS AVE, BRANDON, FL 33511-5925
(813) 651-1818
Mailing address
11804 WINTERSET COVE DR, RIVERVIEW, FL 33579-9355
(181) 350-7218
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32044
FL
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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