Provider Demographics
NPI:1346660362
Name:BARON, LYNSEY (PT, DPT, CLT)
Entity Type:Individual
Prefix:DR
First Name:LYNSEY
Middle Name:
Last Name:BARON
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 ENGLE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-8401
Mailing Address - Country:US
Mailing Address - Phone:440-260-3733
Mailing Address - Fax:440-239-0979
Practice Address - Street 1:7010 ENGLE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-8401
Practice Address - Country:US
Practice Address - Phone:440-260-3733
Practice Address - Fax:440-239-0979
Is Sole Proprietor?:No
Enumeration Date:2014-04-17
Last Update Date:2014-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT11429225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist