Individual
KATY L. LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
99 E BROAD ST, CAMILLA, GA 31730-1807
(229) 336-8255
Mailing address
99 E BROAD ST, CAMILLA, GA 31730-1807
(229) 336-8255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT006146
GA
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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