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Stephen Daniel Lewis II, PTA

Physical Therapy Assistant in Norfolk, VA. Individual provider (NPI-1).

NPI number1336735570
StatusActive
Last updated in NPPESDec 11, 2020

Details

NPI
1336735570
Entity type
Individual (NPI-1)
Name
Mr. Stephen Daniel Lewis II
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Dec 11, 2020
Certification date
Dec 8, 2020
Last updated
Dec 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2306602848VAYes

Practice location

6201 E Virginia Beach Blvd Ste 110
Norfolk, VA 23502-2824

Phone 757-261-0820 · Fax 757-461-3246

Mailing address

105 Inez Ave
Norfolk, VA 23502-5208

Phone 251-472-7508

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