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1760508675
BRENT H LEWIS
WEXFORD, PA
NPI
1760508675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC009378)
Enumeration Date
2007-03-22
Last Update Date
2007-07-08
Business Address
Mr. BRENT H LEWIS OT
5500 BROOKTREE RD SUITE 102
WEXFORD, PA 15090-9260
Phone number: 724-940-3468
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Mailing Address
Mr. BRENT H LEWIS OT
RR 3 BOX 401
ALTOONA, PA 16601-9221
Phone number: 814-931-3154
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