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NPI Code Detail

MEDICARE: ASHTON NICOLE LEWIS DPT

MEDICARE:   ASHTON NICOLE LEWIS  DPT
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
1225100000XPhysical TherapistPT-36807FL

General Provider Information

NPI Number : 1841881679
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHTON NICOLE LEWIS DPT
Provider Business Mailing Address
First Line : 5840 CORPORATE WAY STE 101
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33407-2040
Country : US
Telephone Number : 561-432-0111
Fax Number : 561-432-1075
Provider Business Practice Location Address
First Line : 9897 LAKE WORTH RD STE 203
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-2377
Country : US
Telephone Number : 561-432-0111
Fax Number : 561-432-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2021
Last Update Date : 02/03/2021

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Directions to “ ASHTON NICOLE LEWIS DPT” Practice Location

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