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Individual

MICHELE L LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-6343
Mailing address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-6343

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007967
IN

Other

Enumeration date
07/02/2012
Last updated
07/02/2012
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