Individual
MR. JEFFREY WAYNE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4471 BUTTONWOOD CT NW, MARIETTA, GA 30064-5600
(678) 354-7844
Mailing address
4471 BUTTONWOOD CT NW, MARIETTA, GA 30064-5600
(678) 354-7844
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
115
GA
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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