JACQUELINE AMANDA LEWIS

LOUISVILLE, KY
NPI1689031957
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A01882)
Enumeration Date2016-01-18
Last Update Date2016-01-18
Business Address
-- JACQUELINE AMANDA LEWIS P.T.A.
1705 STEVENS AVE
LOUISVILLE, KY 40205-1044
Phone number: 502-451-7330
Mailing Address
-- JACQUELINE AMANDA LEWIS P.T.A.
102 WAVERLY CT
LOUISVILLE, KY 40206-2040
Phone number: 502-418-2978