Individual
HOLLY DELAYNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 E LEE AVE, YADKINVILLE, NC 27055-8132
(336) 679-8028
Mailing address
5608 MARTY LN, CLEMMONS, NC 27012-8321
(336) 244-5471
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3957
NC
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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