Individual
KING LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 RIDGEGATE PL, HUNTSVILLE, AL 35801-1986
(256) 361-3346
Mailing address
905 RIDGEGATE PL, HUNTSVILLE, AL 35801-1986
(256) 361-3346
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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