Provider Demographics
NPI:1114213915
Name:LOMBARDI, SALLY E (PT)
Entity Type:Individual
Prefix:MRS
First Name:SALLY
Middle Name:E
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 MYLES STANDISH BLVD
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-7330
Mailing Address - Country:US
Mailing Address - Phone:508-824-9022
Mailing Address - Fax:508-384-2495
Practice Address - Street 1:700 MYLES STANDISH BLVD
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-7330
Practice Address - Country:US
Practice Address - Phone:508-824-9022
Practice Address - Fax:508-340-4234
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist