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General NPI Number Information
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NPI Number | 1295446029
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Entity Type | Organization
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Legal Business Name | LEWIS PHYSICAL THERAPY & SPORTS REHABILITATION PA
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 02/12/2023
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Provider Practice Location Address
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Address Line | 187 PARKER AVE STE M
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City | MANASQUAN
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State | NJ
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Zip | 08736-2830
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Country | US
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Telephone | 732-361-2846
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Fax |
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Provider Business Mailing Address
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Address Line | 328 20TH AVE
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City | BRICK
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State | NJ
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Zip | 08724-1617
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Country | US
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Telephone | 908-705-3384
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | GERIANNE LEWIS
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Credential | PT, DPT
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Telephone | 908-705-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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