Individual
JENNIFER LEWIS PFAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6849 OLD DOMINION DR STE 330, MC LEAN, VA 22101-3791
(703) 980-1018
Mailing address
1448 TAFT RD, CHESAPEAKE, VA 23322-2776
(703) 980-1018
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
19512
MD
225100000X
Physical Therapist
Primary
2305831271
VA
225100000X
Physical Therapist
2972
DC
Other
Enumeration date
01/29/2007
Last updated
07/21/2022
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