Individual
SANDRA MAE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1403 S PARK DR, REIDSVILLE, NC 27320-5519
(336) 432-5868
Mailing address
1403 S PARK DR, REIDSVILLE, NC 27320-5519
(336) 432-5868
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5136
NC
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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