Individual
CAROLYN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 E WILLOW DR, SPENCER, WI 54479-9344
(715) 659-4133
Mailing address
N2943 OPELT AVE, NEILLSVILLE, WI 54456-7210
(715) 743-3565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1658
LICENSE#
WI
Enumeration date
11/06/2006
Last updated
07/08/2007
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