NPI 1104457787

Fawn Lewis

Practitioner Physical Therapy Assistant Monument, CO

Practice location

Address: 16055 Old Forest PT STE 101b, Monument, CO 80132-8670
Phone: (719) 247-8916

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8133471495 (CO)

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Registry record

NPI: 1104457787
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2020
Record last updated: 31 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.