Provider Demographics
NPI:1144237603
Name:LEHMAN, JOANNE MAUCH (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:MAUCH
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2605 COLECREEK LANE
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-1571
Mailing Address - Country:US
Mailing Address - Phone:803-366-2679
Mailing Address - Fax:928-223-8801
Practice Address - Street 1:1169 EBENEZER
Practice Address - Street 2:C
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732
Practice Address - Country:US
Practice Address - Phone:803-324-5370
Practice Address - Fax:803-324-7650
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC269225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCTH0172Medicaid