Individual
REINA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 404-9892
Mailing address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 404-9892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22051
NM
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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