Individual
JAN R LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
35 MARY FISHER CIRCLE, PAGOSA SPRINGS, CO 81147
(970) 731-3303
(970) 731-2201
Mailing address
35 MARY FISHER CIRCLE, PAGOSA SPRINGS, CO 81147
(970) 731-3303
(970) 731-2201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10158
CO
Other
Enumeration date
08/06/2009
Last updated
08/06/2009
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