Provider Demographics
NPI:1346434008
Name:BAYNOSA, LLOYD SATO (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:LLOYD
Middle Name:SATO
Last Name:BAYNOSA
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 VINE ST APT 37
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-2319
Mailing Address - Country:US
Mailing Address - Phone:781-277-1174
Mailing Address - Fax:
Practice Address - Street 1:MEDPRO STAFFING
Practice Address - Street 2:3201 W COMMERCIAL BLVD, SUITE 116
Practice Address - City:FT. LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:866-608-2670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist