Individual
MADISON GRISSETT LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
13771 FRANK WILLIAMS RD, MOBILE, AL 36608-8681
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7345
MS
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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