Individual
MRS. JILL KIMBERLEY ANN BREY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
112 GUNN RD, KEENE, NH 03431-5300
(603) 903-1083
Mailing address
112 GUNN RD, KEENE, NH 03431-5300
(603) 903-1083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2050
NH
225XP0200X
Pediatric Occupational Therapist
0119001839
VA
Other
Enumeration date
02/21/2008
Last updated
09/30/2009
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