| NPI | 1053719716 |
|---|---|
| Other Name | SAILBOAT LEWIS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CT 13745) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2024-08-05 |