Provider Demographics
NPI:1154215150
Name:LEWIS, PATRICK CHANCE (OTD, OTR L)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:CHANCE
Last Name:LEWIS
Suffix:
Gender:M
Credentials:OTD, OTR L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E 4TH NORTH ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-6898
Mailing Address - Country:US
Mailing Address - Phone:843-766-6494
Mailing Address - Fax:
Practice Address - Street 1:119 E 4TH NORTH ST UNIT A
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-6898
Practice Address - Country:US
Practice Address - Phone:843-766-6494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7608225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand