Individual
JANIS DEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119-002939
VA
225X00000X
Occupational Therapist
Primary
10311
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669502969
—
NC
Enumeration date
03/06/2007
Last updated
01/24/2023
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