Individual
CONNOR LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10141 224TH ST E, GRAHAM, WA 98338-9190
(253) 446-6982
Mailing address
12 ASTOR PL, GLEN RIDGE, NJ 07028-2021
(862) 926-8623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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