NPI 1184749475

Charles H. Lewis, PTA

Practitioner Physical Therapy Assistant Vista, CA

Practice location

Address: 2067 W Vista Way, Vista, CA 92083-6031
Phone: (760) 631-5888
Fax: (760) 631-5880
Mailing address: 849 Rio Claro CT, Oceanside, CA 92057-6323

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT5338 (CA)

Other Physical Therapy Assistant providers in California →

Registry record

NPI: 1184749475
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2007
Record last updated: 8 Jul 2007

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.