Individual
MRS. KIMBERLY HINES LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
205 E KINGS HWY, EDEN, NC 27288-5239
(336) 623-9712
(336) 623-1424
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7585
NC
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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