Individual
DEANNA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 N DYSART RD STE 109, AVONDALE, AZ 85392-6802
(623) 522-8491
(623) 522-8492
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10616
AZ
225100000X
Physical Therapist
40QA01503300
NJ
Other
Enumeration date
11/02/2013
Last updated
10/02/2018
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