Individual
JESSICA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2041 HUBBARD RD, MADISON, OH 44057-2565
(919) 424-5080
Mailing address
8695 ROYALE OAK CT, MENTOR, OH 44060-6900
(440) 487-6069
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007993
OH
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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