Provider Demographics
NPI:1003413360
Name:BARKLEY, LORAN LEE (DPT)
Entity Type:Individual
Prefix:
First Name:LORAN
Middle Name:LEE
Last Name:BARKLEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LORAN
Other - Middle Name:LEE
Other - Last Name:FLEISCHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 N MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HONEOYE FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14472-1076
Mailing Address - Country:US
Mailing Address - Phone:585-582-0034
Mailing Address - Fax:585-582-0026
Practice Address - Street 1:58 N MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1076
Practice Address - Country:US
Practice Address - Phone:585-582-0034
Practice Address - Fax:585-582-0026
Is Sole Proprietor?:No
Enumeration Date:2020-10-08
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP19755225100000X
NY047121-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist