Individual
KIMBERLY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3434 WATTERS RD, PASADENA, TX 77504-2015
(713) 941-9155
Mailing address
3800 COUNTY ROAD 94 APT 6304, MANVEL, TX 77578-2967
(832) 878-1522
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2058640
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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