Individual
MS. JOVIAL LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5301 SKILLMAN AVE, APR 3R, WOODSIDE, NY 11377-4121
(718) 507-4401
(718) 690-3723
Mailing address
5301 SKILLMAN AVE, APR 3R, WOODSIDE, NY 11377-4121
(718) 507-4401
(718) 690-3723
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
027804
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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