Individual
MRS. MARY ANNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
717 MAPLE ST, STOWE, VT 05672-4250
(802) 477-3928
(802) 253-9384
Mailing address
717 MAPLE ST, STOWE, VT 05672-4250
(802) 477-3928
(802) 253-9384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072.0062201
VT
225XP0200X
Pediatric Occupational Therapist
Primary
072.0062201
VT
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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