Individual
MRS. JILL AULINE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
26 BOTHFELD RD, NEWTON CENTRE, MA 02459-1402
(617) 964-4872
(617) 964-4872
Mailing address
26 BOTHFELD RD, NEWTON CENTRE, MA 02459-1402
(617) 964-4872
(617) 964-4872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2709
MA
Other
Enumeration date
01/09/2008
Last updated
01/09/2008
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