Organization
DEPARTMENT OF VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA JEAN LEWIS-MCDOLE (THERAPY ASST.)
(937) 268-6511
Entity
Organization
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
420 VANIMAN AVE, TROTWOOD, OH 45426-2551
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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