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1740852490
CHARLES LEWIS
FORT WORTH, TX
NPI
1740852490
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2080098)
Enumeration Date
2021-07-13
Last Update Date
2021-07-13
Business Address
CHARLES LEWIS
5320 RUSH CREEK CT
FORT WORTH, TX 76244-4599
Phone number: 810-252-1310
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Mailing Address
CHARLES LEWIS
5320 RUSH CREEK CT
FORT WORTH, TX 76244-4599
Phone number: 810-252-1310
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