Individual
JARED S LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
840 WINTER ST, ATTN: PRO SPORTS THERAPY, WALTHAM, MA 02451-1433
(781) 487-9944
(781) 890-5775
Mailing address
840 WINTER ST, ATTN: PRO SPORTS THERAPY, WALTHAM, MA 02451-1433
(781) 487-9944
(781) 890-5775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19572
MA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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