Individual
MS. JO ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11 MOUNT VERNON AVE, BLOOMFIELD, NJ 07003-3992
(973) 743-2886
(973) 743-2887
Mailing address
11 MOUNT VERNON AVE, P.O. BOX 647, BLOOMFIELD, NJ 07003-3992
(973) 743-2886
(973) 743-2887
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00282900
NJ
Other
Enumeration date
11/04/2007
Last updated
11/04/2007
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