Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT015674 | PA |
NPI | 1134148059 |
---|---|
Provider Name | Alan Lombardo |
First Address | Glen Allen, VA 23059-5755 |
Second Address | Glen Allen, VA 23059-5755 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 19/08/2019 |