Individual
KIMBERLY ANN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3333 W HEFNER RD STE A, OKLAHOMA CITY, OK 73120-5060
(405) 751-9955
(405) 751-9988
Mailing address
4409 CASPER DR, OKLAHOMA CITY, OK 73111-6250
(405) 204-8082
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1194
OK
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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