Provider Demographics
NPI:1982656476
Name:DIETRICH-LEHMAN, DOREEN (PT MS)
Entity Type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:
Last Name:DIETRICH-LEHMAN
Suffix:
Gender:F
Credentials:PT MS
Other - Prefix:MISS
Other - First Name:DOREEN
Other - Middle Name:
Other - Last Name:DIETRICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1940 N 13TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19604-1539
Mailing Address - Country:US
Mailing Address - Phone:610-921-0609
Mailing Address - Fax:610-921-2652
Practice Address - Street 1:1940 N 13TH ST
Practice Address - Street 2:SUITE 130
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19604-1539
Practice Address - Country:US
Practice Address - Phone:610-921-0609
Practice Address - Fax:610-921-2652
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013151L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02173901OtherCAPITAL BLUE CROSS
PADI880560OtherHIGHMARK BLUE SHIELD