Individual
KATARIKA BANKS LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
261 FAIRVIEW AVE, HARTWELL, GA 30643-2247
(706) 376-7121
Mailing address
30 LONG POINT LN, SHARPSBURG, GA 30277-3574
(678) 489-7028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003764
GA
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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