MEDICARE: ABBY LEWIS BELL

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	2251P0200X	Pediatric Physical Therapist	10581	LA

General Provider Information

NPI Number	:	1578186649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBY LEWIS BELL

Provider Business Mailing Address
First Line	:	1714 WOLF CIR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-2353
Country	:	US
Telephone Number	:	375-082-5053
Fax Number	:	337-508-2506

Provider Business Practice Location Address
First Line	:	1714 WOLF CIR
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70605-2353
Country	:	US
Telephone Number	:	375-082-5053
Fax Number	:	337-508-2506

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

Provider Enumeration Date	:	05/25/2020
Last Update Date	:	03/02/2023

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