Basic Information
Provider Information
NPI: 1285012971
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LEHMAN
FirstName: SARAH
MiddleName: MICHELLE
NamePrefix:  
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CASTEN
OtherFirstName: SARAH
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 1910 N CHURCH ST
Address2: STE D
City: GREENSBORO
State: NC
PostalCode: 274055666
CountryCode: US
TelephoneNumber: 3362747480
FaxNumber: 3362748903
Practice Location
Address1: 981 HIGH HOUSE RD
Address2: STE 100
City: CARY
State: NC
PostalCode: 275133510
CountryCode: US
TelephoneNumber: 9193880111
FaxNumber: 9193888668
Other Information
ProviderEnumerationDate: 05/13/2015
LastUpdateDate: 05/14/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XP15594NCY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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