Provider Demographics
NPI:1316227887
Name:PARENT-LEW, STEVEN V (PT, CWS)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:V
Last Name:PARENT-LEW
Suffix:
Gender:M
Credentials:PT, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 12TH ST NE UNIT 112
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-5013
Mailing Address - Country:US
Mailing Address - Phone:770-868-7227
Mailing Address - Fax:
Practice Address - Street 1:273 12TH ST NE UNIT 112
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-5013
Practice Address - Country:US
Practice Address - Phone:770-868-7227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004050225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist