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1154722114
KEISHA MICHELLE LEWIS
WALDORF, MD
NPI
1154722114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119003478)
Enumeration Date
2014-09-09
Last Update Date
2014-09-09
Business Address
Miss KEISHA MICHELLE LEWIS OTR/L, CDE
3328 FORDINGTON PL
WALDORF, MD 20603-4446
Phone number: 803-840-3312
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Mailing Address
Miss KEISHA MICHELLE LEWIS OTR/L, CDE
3328 FORDINGTON PL
WALDORF, MD 20603-4446
Phone number: 803-840-3312
Copy
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