Provider Demographics
NPI:1467689943
Name:LEHFELDT, JOHANNA BELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:JOHANNA
Middle Name:BELLE
Last Name:LEHFELDT
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 1:1238 PALISADE CIR
Mailing Address - Street 2:
Mailing Address - City:HEBER SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:72543-1807
Mailing Address - Country:US
Mailing Address - Phone:501-206-0606
Mailing Address - Fax:
Practice Address - Street 1:74 CLEBURNE PARK RD
Practice Address - Street 2:
Practice Address - City:HEBER SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:72543-9106
Practice Address - Country:US
Practice Address - Phone:501-362-0943
Practice Address - Fax:501-362-8526
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist