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NPI Code Detail

MEDICARE: MR. WILLIAM HAROLD LEWIS II PTA

MEDICARE: MR. WILLIAM HAROLD LEWIS II PTA
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
1225200000XPhysical Therapy AssistantA2171MD
2225200000XPhysical Therapy AssistantJ2-0000365DE

General Provider Information

NPI Number : 1093834343
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM HAROLD LEWIS II PTA
Provider Business Mailing Address
First Line : 101 SEAFARER LN
Second Line :
City : BERLIN
State : MD
Zip : 21811-1851
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 W NORTH ST
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-2137
Country : US
Telephone Number : 302-854-6575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 09/07/2023

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