Lynn Ellen Marie Baker, PTA
Individual provider Active NPI Physical Therapy Assistant · Barstow, CA
NPI 1548428154 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1548428154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- AT 508 (CA)
- Practice address
- 100 Veterans Pkwy
Ste # 100a
Barstow, CA 92311-7003 - Phone
- (760) 252-6757
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT 508 | CA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | AT 508 | CA | Yes |
Addresses
Primary practice location
100 Veterans Pkwy
Ste # 100a
Barstow, CA 92311-7003
Mailing address
7540 N 19TH Ave
Ste#200
Phoenix, AZ 85021-7967
Phone (888) 873-4221
Other providers in Barstow, CA
- Stephenie Baca
- Bae & Jang DDS Inc
- Hyun Jin Bae
- Justina Bailey
- Sherry Lynn Baily
- June Balagtas
- Maria Soledad Arriola Balajadia
- Latisha Dianne Ballard
- Karina Barela
- Isabel Barragan
All providers in Barstow, CA · Physical Therapy Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.