MEDICARE: NATASHA V LEWIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA006746
2	224Z00000X	Occupational Therapy Assistant	OTA006746	AZ

General Provider Information

NPI Number	:	1124905369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA V LEWIS

Provider Business Mailing Address
First Line	:	2600 W CAMINO DEL GRIJALVA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-9202
Country	:	US
Telephone Number	:	520-981-4122
Fax Number	:

Provider Business Practice Location Address
First Line	:	2600 W CAMINO DEL GRIJALVA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-9202
Country	:	US
Telephone Number	:	520-981-4122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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Directions to “ NATASHA V LEWIS ” Practice Location

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