Provider Demographics
NPI:1174956544
Name:LOMBARDO, ALLISON K (DPT, OCS)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:K
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18344 CLARK ST STE 208
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-3580
Mailing Address - Country:US
Mailing Address - Phone:818-996-8386
Mailing Address - Fax:818-996-8979
Practice Address - Street 1:18344 CLARK ST. #208
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-996-8386
Practice Address - Fax:818-996-8979
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2015-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403272251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic