MEDICARE: DR. MICHAEL BRAM LEWIS D.P.T.

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1114183381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL BRAM LEWIS D.P.T.

Provider Business Mailing Address
First Line	:	4544 COLUMBUS ST
Second Line	:	SUITE 1401
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6749
Country	:	US
Telephone Number	:	716-907-9386
Fax Number	:

Provider Business Practice Location Address
First Line	:	4544 COLUMBUS ST
Second Line	:	SUITE 1401
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-6749
Country	:	US
Telephone Number	:	716-907-9386
Fax Number	:

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

Provider Enumeration Date	:	08/06/2008
Last Update Date	:	08/06/2008

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