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NPI Code Detail

MEDICARE: EMILY LEWIS MSOTR/L

MEDICARE: EMILY LEWIS MSOTR/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 TherapistOT3241ME

General Provider Information

NPI Number : 1609322106
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY LEWIS MSOTR/L
Provider Business Mailing Address
First Line : 50 NEW PORTLAND RD
Second Line :
City : GORHAM
State : ME
Zip : 04038-1542
Country : US
Telephone Number : 207-222-8955
Fax Number : 207-839-8263
Provider Business Practice Location Address
First Line : 50 NEW PORTLAND RD
Second Line :
City : GORHAM
State : ME
Zip : 04038-1542
Country : US
Telephone Number : 207-839-5757
Fax Number : 207-839-3716
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2016
Last Update Date : 09/02/2020

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Directions to “ EMILY LEWIS MSOTR/L” Practice Location

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