Individual
JENNIFER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11 W MAIN ST, SUITE 218, BELGRADE, MT 59714-3700
(406) 388-4988
Mailing address
11 W MAIN ST, SUITE 218, BELGRADE, MT 59714-3700
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1109
MT
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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