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NPI Code Detail

MEDICARE: MS. JUDITH W. LEWIS OTR/L

MEDICARE: MS. JUDITH W. LEWIS OTR/L
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
1225X00000XOccupational TherapistOT004475GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OT004475OTHERGAOCCUPATIONAL THERAPY STATE BOARD

General Provider Information

NPI Number : 1598939597
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH W. LEWIS OTR/L
Provider Business Mailing Address
First Line : 46 ASHLEIGH LN
Second Line :
City : POOLER
State : GA
Zip : 31322-3920
Country : US
Telephone Number : 912-704-5779
Fax Number :
Provider Business Practice Location Address
First Line : 351 WILMINGTON ISLAND RD
Second Line :
City : SAVANNAH
State : GA
Zip : 31410-3851
Country : US
Telephone Number : 912-898-9711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 04/22/2008

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