Provider Demographics
NPI:1487386140
Name:LECHNER, CAITLYN DAWN (OTR/L)
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:DAWN
Last Name:LECHNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 N LYNNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LINDENWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:61049-9517
Mailing Address - Country:US
Mailing Address - Phone:815-677-5102
Mailing Address - Fax:
Practice Address - Street 1:715 N LYNNVILLE RD
Practice Address - Street 2:
Practice Address - City:LINDENWOOD
Practice Address - State:IL
Practice Address - Zip Code:61049-9517
Practice Address - Country:US
Practice Address - Phone:815-677-5102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056014639225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist