Provider Demographics
NPI:1437477957
Name:LEHMAN, JILL ANN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:ANN
Last Name:LEHMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 LEHMAN LN
Mailing Address - Street 2:
Mailing Address - City:BOSWELL
Mailing Address - State:PA
Mailing Address - Zip Code:15531-1731
Mailing Address - Country:US
Mailing Address - Phone:814-479-4676
Mailing Address - Fax:814-479-4676
Practice Address - Street 1:1454 SCALP AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3321
Practice Address - Country:US
Practice Address - Phone:814-266-6651
Practice Address - Fax:814-269-3385
Is Sole Proprietor?:No
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005983L172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker