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NPI Code Detail

MEDICARE: MELISSA ANN BARON PT

MEDICARE: MELISSA ANN BARON PT
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
12251P0200XPediatric Physical TherapistPT 011108OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000362876OTHEROHANTHEM BC/BS

General Provider Information

NPI Number : 1306860473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN BARON PT
Provider Business Mailing Address
First Line : 4645 BELPAR ST NW
Second Line :
City : CANTON
State : OH
Zip : 44718-3602
Country : US
Telephone Number : 330-493-4210
Fax Number : 330-493-4744
Provider Business Practice Location Address
First Line : 2821 WHIPPLE AVE NW
Second Line : SUITE 200
City : CANTON
State : OH
Zip : 44708-6215
Country : US
Telephone Number : 330-478-1752
Fax Number : 330-478-1763
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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Directions to “ MELISSA ANN BARON PT” Practice Location

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