Provider Demographics
NPI:1861889594
Name:BARRON, ASHLEIGH (DPT)
Entity type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:
Last Name:BARRON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:
Other - Last Name:GODLEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:501 DARLENE AVE
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2005
Mailing Address - Country:US
Mailing Address - Phone:410-718-0220
Mailing Address - Fax:
Practice Address - Street 1:501 DARLENE AVE
Practice Address - Street 2:
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2005
Practice Address - Country:US
Practice Address - Phone:410-718-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist