Individual
MRS. AMY H LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
58 WARREN ST, CHARLESTON, SC 29403-6133
(843) 579-0731
(843) 720-8562
Mailing address
58 WARREN ST, CHARLESTON, SC 29403-6133
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2570
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1352
—
SC
Enumeration date
12/01/2006
Last updated
07/08/2007
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