| Doctor Name: | MISS LYN JONSON BALLENER |
| NPI Number: | 1710314984 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 032523 |
| Business Practice Address: | 824 55th Street (bet. 8th & 9th Ave.) Brooklyn Ny, NY - 11220 |
| Business Phone Number: | 7186861733 |
| Business Fax Number: | |
| Mailing Address: | 64 Tuers Ave, #2c Jersey City JERSEY CITY |
| State: | NJ |
| Postal Code: | 073063250 |
| Phone Number: | 2018500619 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2013 |
| NPI Last Update Date: | 10/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 032523 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |