Individual
AMANDA RENEE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
(270) 868-0089
Mailing address
635 S MAIN ST STE B, LEITCHFIELD, KY 42754-1056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
170882
KY
Other
Enumeration date
10/12/2016
Last updated
04/25/2018
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