Healthcare Provider Details

I. General information

NPI: 1194930784
Provider Name (Legal Business Name): REBECCA A LEHMAN P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 26TH AVE
MONROE WI
53566-1531
US

IV. Provider business mailing address

924 2ND STREET
MONROE WI
53566-1103
US

V. Phone/Fax

Practice location:
  • Phone: 608-329-6600
  • Fax: 608-329-6594
Mailing address:
  • Phone: 608-328-4873
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1809-024
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: