Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1195763 | TX |
NPI | 1003114562 |
---|---|
Provider Name | Mrs. Jessica R. Lehman |
First Address | Dallas, TX 75284-7556 |
Second Address | Temple, TX 76508-2111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2011 |
Last Update Date | 08/03/2011 |