Individual
THOMAS VERNON LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 POLO RIDGE CT, WINSTON SALEM, NC 27106-3950
(336) 722-7118
Mailing address
1355 MORGAN WAY APT 208, WINSTON SALEM, NC 27127-5154
(304) 276-6508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11174
NC
Other
Enumeration date
09/17/2018
Last updated
04/12/2022
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