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Individual

AMETHYST LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
100 HOLLINSHEAD SPRING RD, SKILLMAN, NJ 08558-2028
(609) 931-9251
Mailing address
100 HOLLINSHEAD SPRING RD, SKILLMAN, NJ 08558-2028
(609) 931-9251

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TA09117600
NJ
174400000X
Specialist
OP008358
PA

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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