Individual
JESSICA LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2603 W PLEASANT GROVE RD STE 104, ROGERS, AR 72758-8514
(479) 636-1187
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1305872
TX
225100000X
Physical Therapist
Primary
PT4292
AR
Other
Enumeration date
02/28/2022
Last updated
11/13/2024
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