Individual
MRS. MACY LEIGH LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
515 PETERSON AVE S STE B, DOUGLAS, GA 31533-5244
(912) 501-4047
(912) 501-5289
Mailing address
515 PETERSON AVE S STE B, DOUGLAS, GA 31533-5244
(912) 501-4047
(912) 501-5289
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008698
GA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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