Doctor Name: | RAYMOND LOLLI |
NPI Number: | 1124449566 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 22860 |
Business Practice Address: | 273 Oakpointe Drive Fort Ashby, WV - 267191557 |
Business Phone Number: | 3047902468 |
Business Fax Number: | |
Mailing Address: | Po Box 1557, FORT ASHBY |
State: | WV |
Postal Code: | 267191557 |
Phone Number: | 3047902468 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2014 |
NPI Last Update Date: | 01/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 22860 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |