Individual
SHANTELLE SHAREE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1050 S GEORGE ST, YORK, PA 17403-3696
(717) 843-9866
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1005689
PA
Other
Enumeration date
02/03/2020
Last updated
02/04/2020
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