Individual
DAYNE M LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1820
Mailing address
705 E DOROTHY LN, DAYTON, OH 45419-1927
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OH
224Z00000X
Occupational Therapy Assistant
OTA. 04593
OH
Other
Enumeration date
02/25/2011
Last updated
01/24/2024
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