Individual
BRANDON LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 W HOSPITALITY LN STE 103, SAN BERNARDINO, CA 92408-3238
(909) 567-2221
Mailing address
24920 MOUND ST, LOMA LINDA, CA 92350-0202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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