Individual
CONNIE R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1666 HILLVIEW DR, ELIZABETHTON, TN 37643-4116
(423) 542-5061
Mailing address
2341 DAVE BUCK RD, JOHNSON CITY, TN 37601-7113
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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