Individual
MRS. BEVERLY D LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1887 BATHGATE AVE, BRONX, NY 10457-6216
(718) 466-3580
Mailing address
140 DEBS PL APT 6A, BRONX, NY 10475-2565
(718) 379-7228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006152-1
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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