Provider Demographics
NPI:1457428807
Name:LOMONACO REHABILITATION SERVICES, INC.
Entity Type:Organization
Organization Name:LOMONACO REHABILITATION SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:LOMONACO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:508-278-2002
Mailing Address - Street 1:PO BOX 245
Mailing Address - Street 2:
Mailing Address - City:WHITINSVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:01588-0245
Mailing Address - Country:US
Mailing Address - Phone:508-278-2002
Mailing Address - Fax:508-278-3522
Practice Address - Street 1:44 RIVULET ST.
Practice Address - Street 2:
Practice Address - City:UXBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:01569
Practice Address - Country:US
Practice Address - Phone:508-278-2002
Practice Address - Fax:508-278-3522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17140225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty