Individual
NATOSHA LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4489 M 61, STANDISH, MI 48658-9273
(989) 718-3171
Mailing address
4489 M 61, STANDISH, MI 48658-9273
(989) 718-3171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003235
MI
Other
Enumeration date
02/01/2016
Last updated
02/04/2016
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