Individual
JENNIFER LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
257 RIVERTOWN DR, WOODBURY, MN 55125-7726
(651) 528-6461
(651) 528-6349
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13046
MN
225100000X
Physical Therapist
5177
HI
2251P0200X
Pediatric Physical Therapist
2305211533
VA
Other
Enumeration date
09/20/2017
Last updated
09/12/2023
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