Individual
MR. DAVID LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
431 RAINTREE DR, FORT ATKINSON, WI 53538
(512) 618-9460
Mailing address
431 RAINTREE DR, FORT ATKINSON, WI 53538-2839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2098131
TX
225200000X
Physical Therapy Assistant
Primary
2769
WI
Other
Enumeration date
05/20/2018
Last updated
05/20/2018
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