Individual
ALEXA SPROULL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1135 BONITA DR APT A, ENCINITAS, CA 92024-3852
(619) 307-0268
Mailing address
1135 BONITA DR APT A, ENCINITAS, CA 92024-3852
(619) 307-0268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10158
CA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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