Whalio Doctors

NPI 1033543608

Loren Dale Tower, CTPO

Practitioner Prosthetist Richmond, VA

Practice location

Address
1201 Broad Rock Blvd, Richmond, VA 23249-0002
Phone
(804) 675-5000
Fax
(804) 675-5255

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X
Orthotist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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.