MEDICARE: DOROTHY M LEHR P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01188600	NJ
2	225100000X	Physical Therapist	PT017715	PA

General Provider Information

NPI Number	:	1942289723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY M LEHR P.T.

Provider Business Mailing Address
First Line	:	176 OXFORD RD
Second Line	:
City	:	CINNAMINSON
State	:	NJ
Zip	:	08077-2123
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 SUNSET RD
Second Line	:	SUITE 5-A
City	:	WILLINGBORO
State	:	NJ
Zip	:	08046-1126
Country	:	US
Telephone Number	:	609-835-4801
Fax Number	:	609-835-4950

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	03/31/2009

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