Doctor Name: | JOCELYN LYSCHELL LEWIS |
NPI Number: | 1023220035 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 40QA01168900 |
Business Practice Address: | 200 Northpointe Cir Suite 302 Seven Fields, PA - 160467861 |
Business Phone Number: | 8884265430 |
Business Fax Number: | |
Mailing Address: | 310 Fairview Ave., WEST BERLIN |
State: | NJ |
Postal Code: | 08091 |
Phone Number: | 8567681407 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 40QA01168900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |