Provider Demographics
NPI:1407077159
Name:CARTER, JENNIFER LEHMAN (OT)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LEHMAN
Last Name:CARTER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:MARGARET
Other - Last Name:LEHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:930 N FERDON BLVD
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32536-1706
Mailing Address - Country:US
Mailing Address - Phone:850-331-2987
Mailing Address - Fax:850-398-5008
Practice Address - Street 1:930 N FERDON BLVD
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32536-1706
Practice Address - Country:US
Practice Address - Phone:850-331-2987
Practice Address - Fax:850-398-5008
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8398225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist