Individual
MS. KIMBERLY ANN LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2818 TANNER LAKE TRL NW, MARIETTA, GA 30064-1200
(770) 427-4045
(770) 424-7195
Mailing address
2818 TANNER LAKE TRL NW, MARIETTA, GA 30064-1200
(770) 427-4045
(770) 424-7195
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
002323
GA
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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