Individual
MELISSA R. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(877) 508-3237
Mailing address
536 HOWELL RD., GREENVILLE, SC 29615
(877) 508-3237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003344
GA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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