Doctor Name: | MARK R. LEWIS |
NPI Number: | 1477629749 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.P.T. |
License Number: | PT2617 |
Business Practice Address: | 91 Camden St Ste 401 Rockland, ME - 048412421 |
Business Phone Number: | 2075936682 |
Business Fax Number: | 2072131075 |
Mailing Address: | 91 Camden St Ste 401, ROCKLAND |
State: | ME |
Postal Code: | 048412421 |
Phone Number: | 2075936682 |
Fax Number: | 2072131075 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 09/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT2617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |