Basic Information
Provider Information
NPI: 1831449404
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEWIN
FirstName: DAVID
MiddleName: CHRISTOPHER
NamePrefix:  
NameSuffix:  
Credential: D.P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4605 SAWMILL RD
Address2:  
City: UPPER ARLINGTON
State: OH
PostalCode: 432202246
CountryCode: US
TelephoneNumber: 6148278700
FaxNumber: 6148278701
Practice Location
Address1: 4605 SAWMILL RD
Address2:  
City: UPPER ARLINGTON
State: OH
PostalCode: 432202246
CountryCode: US
TelephoneNumber: 6148278700
FaxNumber: 6148278701
Other Information
ProviderEnumerationDate: 09/11/2012
LastUpdateDate: 08/06/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT.013937OHY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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