Individual
BRENDA MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3319 EASTERN AVE, SACRAMENTO, CA 95821-4009
(916) 801-1168
Mailing address
3319 EASTERN AVE, SACRAMENTO, CA 95821-4009
(916) 801-1168
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5208
CA
Other
Enumeration date
03/04/2020
Last updated
03/04/2020
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