| Doctor Name: | DR. JERRY BARANICK |
| NPI Number: | 1134221617 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | 24415 |
| Business Practice Address: | 5122 Casa Loma Ave Yorba Linda, CA - 928863943 |
| Business Phone Number: | 7147242575 |
| Business Fax Number: | 7149939878 |
| Mailing Address: | 5122 Casa Loma Ave, YORBA LINDA |
| State: | CA |
| Postal Code: | 928863943 |
| Phone Number: | 7147242575 |
| Fax Number: | 7149939878 |
| NPI Enumeration Date: | 09/03/2006 |
| NPI Last Update Date: | 12/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 24415 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |