Individual
BRANDI J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
550 W FRONTAGE RD STE 2415, NORTHFIELD, IL 60093-1212
(877) 787-3422
Mailing address
230 APPLE TREE DR, URBANA, IL 61802-7371
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160006468
IL
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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