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NPI 1235656653

NPI 1235656653 : SYLVIA ANN LEWIS PT, DPT : LA MESA, CA

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General NPI Number Information
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    NPI Number           |    1235656653
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    Entity Type          |    Individual 
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    Provider Name        |    SYLVIA ANN LEWIS PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/25/2017
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    Last Update Date     |    07/21/2025
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Provider Practice Location Address
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    Address Line         |    8491 FLETCHER PKWY 
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    City                 |    LA MESA
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    State                |    CA
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    Zip                  |    91942-3005
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    Country              |    US
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    Telephone            |    619-460-0137
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    Fax                  |    619-460-0139
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Provider Business Mailing Address
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    Address Line         |    3959 RUFFIN RD STE J 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92123-1830
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    Country              |    US
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    Telephone            |    858-279-5570
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    Fax                  |    858-279-5303
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT293633
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    License Number State |    CA
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