Individual
CHARMAINE ROSE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5830 CORAL RIDGE DR, SUITE #120, CORAL SPRINGS, FL 33076-3392
(954) 752-6065
(954) 752-5746
Mailing address
11260 NW 41ST CT, CORAL SPRINGS, FL 33065-7764
(954) 822-9560
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
11022
FL
224Z00000X
Occupational Therapy Assistant
210594
TX
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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