Individual
RICHARD LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK (5TH FLOOR), NEWINGTON, CT 06111
(860) 667-5480
(860) 667-8416
Mailing address
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK (5TH FLOOR), NEWINGTON, CT 06111
(860) 667-5480
(860) 667-8416
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3120
CT
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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