Individual
KATHLEEN EVA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1824 CORONADO AVE., YOUNGSTOWN, OH 44504-1307
(330) 747-0822
Mailing address
1824 CORONADO AVE., YOUNGSTOWN, OH 44504-1307
(330) 747-0822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005210
OH
2251P0200X
Pediatric Physical Therapist
5210
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700296282
—
OH
Enumeration date
05/06/2014
Last updated
02/16/2016
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