NPI 1033543608
Loren Dale Tower, CTPO
Practice location
- Address
- 1201 Broad Rock Blvd, Richmond, VA 23249-0002
- Phone
- (804) 675-5000
- Fax
- (804) 675-5255
Registered specialties (2)
Prosthetist
Primary
Orthotist
Registry record
- NPI
- 1033543608
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 30 Aug 2013
- Record last updated
- 30 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.