Provider Demographics
NPI:1932533957
Name:LOMBARDO, ZACH (PT DPT)
Entity Type:Individual
Prefix:
First Name:ZACH
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 FOUNDERS PKWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-7602
Mailing Address - Country:US
Mailing Address - Phone:678-624-9117
Mailing Address - Fax:678-624-0747
Practice Address - Street 1:1750 FOUNDERS PKWY
Practice Address - Street 2:SUITE 130
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7602
Practice Address - Country:US
Practice Address - Phone:678-624-9117
Practice Address - Fax:678-624-0747
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-27
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT011207225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist