Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 115072 | TX |
NPI | 1043490279 |
---|---|
Provider Name | Christy A Lewis |
First Address | Houston, TX 77081-2227 |
Second Address | Houston, TX 77081-2227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 09/12/2021 |