| Jessica Lewis, MPT | |
|
929 Stacey Burk Dr, Flora, IL 62839-3241 | |
| (618) 662-8060 | |
| (618) 662-8080 |
| Full Name | Jessica Lewis |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 929 Stacey Burk Dr, Flora, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063775443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.013027 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lewis, MPT 1775 County Road 2100 N, Cisne, IL 62823-7808 Ph: () - | Jessica Lewis, MPT 929 Stacey Burk Dr, Flora, IL 62839-3241 Ph: (618) 662-8060 |
Ponciano Pormentira Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 Stacy Burk Drive, Flora, IL 62839 Phone: 618-662-8060 Fax: 618-662-8080 | |
Cody Burnett, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 929 Stacey Burk Dr, Flora, IL 62839 Phone: 618-662-8060 |