MEDICARE: CHRISTY LEE BARRON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	TEI004387	PA

General Provider Information

NPI Number	:	1225491525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY LEE BARRON

Provider Business Mailing Address
First Line	:	19987 CLIFFSIDE DR
Second Line	:
City	:	THREE SPRINGS
State	:	PA
Zip	:	17264-8525
Country	:	US
Telephone Number	:	814-448-2998
Fax Number	:

Provider Business Practice Location Address
First Line	:	19987 CLIFFSIDE DR
Second Line	:
City	:	THREE SPRINGS
State	:	PA
Zip	:	17264-8525
Country	:	US
Telephone Number	:	814-448-2998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	04/04/2016

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