Provider Demographics
NPI:1811060478
Name:LEHNER, DONALD WAYNE JR (PTA)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:WAYNE
Last Name:LEHNER
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:RR 3 BOX 434
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-9541
Mailing Address - Country:US
Mailing Address - Phone:814-684-0637
Mailing Address - Fax:
Practice Address - Street 1:301 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2805
Practice Address - Country:US
Practice Address - Phone:301-216-4247
Practice Address - Fax:301-216-4249
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA2773225200000X
PATE006560225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant