| Organization Name: | DEPARTMENT OF VETERANS AFFAIRS |
| NPI Number: | 1588761985 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LAURA JEAN LEWIS-MCDOLE (THERAPY ASST.) |
| Mailing Address: | 4100 W 3rd St Dayton |
| State: | OH US |
| Postal Code: | 454289000 |
| Phone Number: | 9372686511 |
| Fax Number: | |
| NPI Enumeration Date: | 09/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225800000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Recreation Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |