Doctor Name: | LYNN MARIE BALTIMORE |
NPI Number: | 1053543512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT14658 |
Business Practice Address: | 1188 17th St Los Osos, CA - 934021426 |
Business Phone Number: | 8055288076 |
Business Fax Number: | |
Mailing Address: | 1188 17th St, LOS OSOS |
State: | CA |
Postal Code: | 934021426 |
Phone Number: | 8055288076 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2009 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT14658 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |