Individual
TAYLOR LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 JACQUELINE WAY APT 240, WESTBROOK, ME 04092-4149
(207) 446-8278
Mailing address
12 JACQUELINE WAY APT 240, WESTBROOK, ME 04092-4149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
O3069
ME
Other
Enumeration date
04/08/2017
Last updated
04/08/2017
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