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Individual

MRS. PAMELA BROWN LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
3001 PALM COAST PKWY SE, PALM COAST, FL 32137-8209
(386) 446-6060
Mailing address
2 GREENVALE DR, ORMOND BEACH, FL 32174-8780
(386) 295-7540

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 10843
FL

Other

Enumeration date
07/09/2012
Last updated
07/09/2012
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