Individual
JENNIFER MICHELE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
701 N. BROADWAY, BALTIMORE, MD 21205
(443) 923-9200
Mailing address
1741 ASHLAND AVE., BALTIMORE, MD 21205
(484) 787-2294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
07/14/2023
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