Individual
MRS. LISA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5549 MORELLA AVE, VALLEY VILLAGE, CA 91607-2211
(818) 985-5990
Mailing address
5549 MORELLA AVE, VALLEY VILLAGE, CA 91607-2211
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
693
CA
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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