Individual
KELLY LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
350 MONTEVUE LANE, FREDERICK, MD 21702
(301) 600-1611
Mailing address
7219 JOHN PICKETT RD, WOODBINE, MD 21797-9007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07868
MD
Other
Enumeration date
03/17/2016
Last updated
08/12/2025
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