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Individual

AMBER ROCHELE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTA

Contact information

Practice address
5917 CANNON MOUNTAIN DR, AUSTIN, TX 78749-2833
(972) 292-7447
Mailing address
5917 CANNON MOUNTAIN DR, AUSTIN, TX 78749-2833

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
203239
TX

Other

Enumeration date
05/04/2016
Last updated
05/04/2016
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