KHADIJAH A LEWIS

KENOSHA, WI
NPI1346518982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  11149-24)
Enumeration Date2011-12-10
Last Update Date2019-03-26
Business Address
KHADIJAH A LEWIS P.T
3506 WASHINGTON RD
KENOSHA, WI 53144-1654
Phone number: 262-653-3814
Mailing Address
KHADIJAH A LEWIS P.T
4415 W LAWN AVE
WAUKEGAN, IL 60085-8664
Phone number: 773-807-0487
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