Provider Demographics
NPI:1689302986
Name:LOMBARDO, ANTHONY (DPT, PT)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:96 FREDERICK ST APT 59
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-3453
Mailing Address - Country:US
Mailing Address - Phone:508-282-7692
Mailing Address - Fax:
Practice Address - Street 1:380R MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-5883
Practice Address - Country:US
Practice Address - Phone:978-688-1176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-13
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA26338225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist