Individual
MELANIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2586 HWY 17 BUSINESS S, MURRELLS INLET, SC 29576
(843) 651-6565
Mailing address
2586 HWY 17 BUSINESS, MURRELLS INLET, SC 29576-6605
(843) 651-6565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11932
TN
225100000X
Physical Therapist
Primary
9994
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446631
—
TN
Enumeration date
07/26/2018
Last updated
10/30/2020
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