Individual provider · Type 1 NPI
Jovial Lewis
Pediatric Physical Therapist · Woodside, NY
Practice location
5301 Skillman Ave, Apr 3R
Woodside, NY 11377-4121
Fax (718) 690-3723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 027804 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1699920199
Jovial Lewis's National Provider Identifier is 1699920199, issued on Nov 25, 2008. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Woodside, NY. The record was last updated on Nov 25, 2008.