Individual ProviderMarissa L LewisOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address444 Washington St, Suite 401, Woburn, MA 01801-1046(781) 937-9777(617) 359-4133PECOS EnrollmentBased on the most recent information from CMS, provider Marissa L Lewis does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1811138647Provider TypeIndividualFull NameLewis, Marissa LCredentialCOTAGenderFemaleSole ProprietorNoEnumeration Date3/6/2009Last Updated3/6/2009Contact InformationPractice LocationPractice Address444 Washington St, Suite 401, Woburn, MA 01801-1046Phone(781) 937-9777FaxUnlisted FaxMailing LocationMailing Address741 E 6th St, Apt #22, South Boston, MA 02127-4372Phone(617) 359-4133FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode224Z00000XPrimaryDescriptionOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense3080MassachusettsProvider IdentifiersIDDescriptionIssuerID161216796DescriptionOtherIssuerTAX IDMassachusetts