Provider Demographics
NPI:1336733443
Name:LEWIS, FRANCIS JOSEPH JR (PTA)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:LEWIS
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:262 RIDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3238
Mailing Address - Country:US
Mailing Address - Phone:610-324-4566
Mailing Address - Fax:
Practice Address - Street 1:190 W SPROUL RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2027
Practice Address - Country:US
Practice Address - Phone:610-328-8800
Practice Address - Fax:610-328-8792
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI001645225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant