Individual
DEANNA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3840 HULEN ST STE 100, FORT WORTH, TX 76107-7269
(817) 569-4396
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4396
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111473
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212204601
—
TX
01
—
846T68
BCBS
TX
Enumeration date
06/21/2010
Last updated
01/30/2026
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