Individual
CARRIE J LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
705 S HOUSTON ST, TAYLORVILLE, IL 62568-9349
(217) 824-3447
(217) 824-3447
Mailing address
2601 S BROADWAY AVE, SALEM, IL 62881-3654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056004838
IL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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