Dylan Lewis MPT

NPI 1124330147 - Physical Therapist - 225100000X

NPI Details
NPI 1124330147
Gender Male
Enumeration Date 07/07/2010
Last Updated 02/07/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
4857 E US ROUTE 36
DECATUR IL, 62521-9725, US
Phone (217) 864-1264
Fax
Business Location
4857 E US ROUTE 36
DECATUR IL, 62521-9725, US
Phone (217) 864-1264
Fax
Toxanomy
Taxonomy Code 225100000X
License State Illinois
License Number 070-017834
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According to our database, Dylan Lewis MPT NPI is 1124330147, taxonomy code is 225100000X and license number is 070-017834, license state is located at Illinois. Dylan Lewis MPT physically located at 4857 E Us Route 36, Decatur IL, 62521-9725. NPI Number Dylan Lewis MPT has the Individual type.

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1124330147 NPI number is provided on an as is basis without warranty of any kind. 1124330147 is maintained by the National Plan & Provider Enumeration System. The contents of Dylan Lewis MPT are for informational purposes only.