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1689031957
JACQUELINE AMANDA LEWIS
LOUISVILLE, KY
NPI
1689031957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KY A01882)
Enumeration Date
2016-01-18
Last Update Date
2016-01-18
Business Address
-- JACQUELINE AMANDA LEWIS P.T.A.
1705 STEVENS AVE
LOUISVILLE, KY 40205-1044
Phone number: 502-451-7330
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Mailing Address
-- JACQUELINE AMANDA LEWIS P.T.A.
102 WAVERLY CT
LOUISVILLE, KY 40206-2040
Phone number: 502-418-2978
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