Individual
TAKISHA WISEMAN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3244 THEODORE R HAGANS DR NE, WASHINGTON, DC 20018-4319
(301) 675-9438
Mailing address
3244 THEODORE R HAGANS DR NE, WASHINGTON, DC 20018-4319
(301) 675-9483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06138
MD
Other
Enumeration date
05/29/2012
Last updated
10/07/2021
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