Individual provider · NPI-1

Joanne Lumaban Barahona, DPT

Physical Therapist · Melbourne, FL

NPI number1679144513
StatusActive
Last updated in NPPESJul 11, 2022

Details

NPI
1679144513
Entity type
Individual (NPI-1)
Name
Joanne Lumaban Barahona
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2021
Certification date
Jul 11, 2022
Last updated
Jul 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT37193FLYes

Practice location

3680 N Wickham Rd Ste B
Melbourne, FL 32935-2327

Phone 321-255-5500 · Fax 321-255-5551

Mailing address

3680 N Wickham Rd Ste B
Melbourne, FL 32935-2327

Phone 321-255-5500 · Fax 251-255-5551

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Melbourne, FL