Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 009509-1 | NY |
NPI | 1932532413 |
---|---|
Provider Name | Juliet Jean Lehman |
First Address | Wading River, NY 11792-1034 |
Second Address | Wading River, NY 11792-1034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2013 |
Last Update Date | 19/08/2013 |