Individual
KYLIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 SANDY BROOK DR STE 201, ROUND ROCK, TX 78665-1518
(512) 388-8904
Mailing address
6012 NORESTON ST, SHAWNEE, KS 66218-8632
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122723
TX
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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