Individual
MADELINE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
606 PROVIDENCE HWY, DEDHAM, MA 02026-6804
(857) 444-1010
(857) 444-1011
Mailing address
250 E MAIN ST, NORTON, MA 02766-2436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23810
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23810
PT LICENSE
MA
Enumeration date
09/21/2018
Last updated
09/21/2018
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