Healthcare Provider Details

I. General information

NPI: 1962831487
Provider Name (Legal Business Name): JEAN STEPHENS LEHMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/05/2013
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 NW MARKET ST STE E
SEATTLE WA
98107-5815
US

IV. Provider business mailing address

2821 NW MARKET ST STE E
SEATTLE WA
98107-5815
US

V. Phone/Fax

Practice location:
  • Phone: 206-706-0063
  • Fax:
Mailing address:
  • Phone: 206-706-0063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOT00002696
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: